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South Carolina rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.98 / $4,424.18 / $14,644.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.16 / $4,945.92 / $8,525.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $715.00 / $5,740.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.98 / $584.04 / $937.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00