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South Carolina rates for HCPCS 28605

Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $407.38 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $371.54 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $389.05 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $501.19