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South Carolina rates for MS-DRG 489

Knee procedures without principal diagnosis of infection without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,519.20 / $19,465.80 / $19,465.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,539.46 / $22,539.46 / $22,539.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,107.50 / $19,890.08 / $37,015.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.00 / $21,975.27 / $33,682.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,416.96 / $24,689.10 / $37,549.05