go back

South Carolina rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.99 / $1,772.46 / $13,335.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.33 / $567.60 / $895.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,713.16 / $6,184.58 / $10,500.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $493.43 / $793.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $831.92 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $734.25 / $1,290.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.17 / $707.08 / $1,231.96
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
$75.30 / $479.76 / $863.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.37 / $692.04 / $1,705.46