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Pennsylvania rates for HCPCS 29867

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $3,838.00 / $8,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.97 / $1,296.65 / $2,770.23
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
$1,283.77 / $1,332.21 / $2,352.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.89 / $1,448.89 / $1,448.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.96 / $1,555.28 / $2,578.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.34 / $2,055.42 / $2,617.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,125.72 / $41,125.72 / $41,125.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.79 / $1,309.79 / $2,913.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,734.00 / $10,527.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.97 / $1,474.42 / $5,823.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.60 / $1,701.93 / $2,620.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.89 / $1,448.89 / $1,448.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.96 / $1,589.40 / $2,663.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.99 / $1,249.60 / $1,249.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.26 / $1,249.60 / $1,322.67
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
$1,154.46 / $1,551.98 / $2,553.48