go back

South Carolina rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,467.37 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $371.54 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $416.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $204.17 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $275.42