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South Carolina rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.59 / $869.34 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.73 / $238.28 / $373.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,866.56 / $6,304.45 / $10,605.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.64 / $323.47 / $494.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.16 / $580.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.01 / $333.23 / $617.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.59 / $362.00 / $589.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $317.51 / $538.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,878.00 / $16,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.44 / $335.64 / $740.65