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South Carolina rates for HCPCS 28825

Amputation Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.64 / $3,155.57 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.96 / $331.64 / $703.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.15 / $178.15 / $291.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.14 / $4,877.85 / $8,588.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.05 / $317.51 / $603.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.22 / $505.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.47 / $480.63 / $778.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.00 / $456.00 / $900.00
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
$219.54 / $299.81 / $463.29
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
$412.87 / $555.78 / $930.38