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Montana rates for HCPCS 29866

Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.97 / $1,473.58 / $5,496.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.72 / $1,675.72 / $1,675.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.24 / $1,675.72 / $1,765.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.50 / $1,141.94 / $1,675.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.29 / $1,675.72 / $2,186.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.51 / $1,711.71 / $1,941.12