go back

South Carolina rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,165.95 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $169.82 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,570.88 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $331.13 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $478.63 / $1,000.00
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
$323.59 / $489.78 / $812.83