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South Carolina rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.19 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.32 / $1,229.84 / $1,876.94
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
$1,102.06 / $1,669.00 / $2,932.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,346.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.48 / $1,610.51 / $2,624.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.41 / $1,691.73 / $2,635.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $879.21 / $1,600.80
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
$996.94 / $1,317.12 / $2,415.19