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South Carolina rates for HCPCS 27557

Open Tx Knee Dislocation W/Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.63 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.13 / $1,086.45 / $1,387.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.09 / $1,618.00 / $2,830.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,183.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.98 / $1,517.56 / $2,306.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.42 / $1,545.25 / $2,312.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $762.18 / $1,412.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.52 / $1,163.13 / $2,353.54