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South Carolina rates for HCPCS 00402

Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,137.96
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,548.13