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Pennsylvania rates for HCPCS 29866

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.03 / $3,839.00 / $8,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.82 / $1,067.00 / $1,557.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.70 / $1,098.65 / $1,926.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.30 / $1,196.30 / $1,196.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.77 / $1,284.44 / $2,125.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.67 / $1,696.90 / $2,161.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,332.43 / $18,876.09 / $24,092.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.04 / $1,380.55 / $1,957.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,264.00 / $10,203.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.04 / $1,184.36 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.50 / $1,223.50 / $2,158.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.30 / $1,196.30 / $1,196.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.77 / $1,312.40 / $2,184.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.58 / $1,029.39 / $1,029.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.13 / $1,029.39 / $1,090.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.60 / $1,273.34 / $2,095.63