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Michigan rates for HCPCS 29867

Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.48 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.97 / $1,636.48 / $1,988.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,579.56 / $15,636.14 / $36,719.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.74 / $1,348.41 / $3,054.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.90 / $1,465.29 / $2,709.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.12 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.59 / $1,461.24 / $2,137.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $901.95 / $1,485.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.12 / $1,542.49 / $2,112.10