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South Carolina rates for HCPCS 01402

Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$742.56 / $860.20 / $928.20
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$906.78 / $1,223.04 / $2,048.19