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South Carolina rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $5,107.20 / $17,097.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,956.60 / $9,663.26 / $17,877.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $7,334.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.00 / $946.82 / $1,776.03
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$158.60 / $188.94 / $332.92
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$111.02 / $132.26 / $233.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00