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South Carolina rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.89 / $9,062.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.36 / $1,879.89 / $2,193.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,714.49 / $18,600.65 / $34,283.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.91 / $1,901.55 / $3,221.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,865.42 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.77 / $2,222.87 / $3,657.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.58 / $2,255.87 / $3,645.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,584.55 / $7,584.55 / $7,584.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.24 / $1,174.35 / $2,193.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,628.00 / $19,766.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.38 / $1,721.47 / $3,711.06