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South Carolina rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $6,760.83 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,754.40 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $831.76 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $741.31 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $707.95 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,000.00