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South Carolina rates for HCPCS 28820

Amputation Toe Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.79 / $3,689.35 / $11,956.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.85 / $338.79 / $717.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $178.49 / $297.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.73 / $4,896.00 / $8,588.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $361.62 / $685.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.76 / $505.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.51 / $506.37 / $829.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.04 / $498.68 / $979.62
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
$247.03 / $336.99 / $526.36
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
$431.58 / $580.61 / $924.41