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South Carolina rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.79 / $8,531.11 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.92 / $4,890.35 / $8,656.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $806.35 / $890.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.43 / $927.49 / $1,596.07
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,254.00 / $1,406.81 / $2,380.71
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.04 / $131.30 / $222.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00