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South Carolina rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.11 / $149.54 / $229.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.06 / $187.06 / $187.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $151.27 / $252.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.03 / $174.79 / $309.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $139.13 / $139.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.91 / $153.09 / $243.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $164.55 / $351.87