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South Carolina rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.35 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.50 / $351.35 / $533.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.64 / $438.34 / $728.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.00 / $324.63 / $499.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.80 / $375.00 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.08 / $408.24 / $760.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.00 / $386.49 / $686.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $237.61 / $448.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.31 / $335.37 / $786.24