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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
$851.14 / $851.14 / $933.25
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74