go back

Utah rates for HCPCS 29867

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.70 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.45 / $1,800.70 / $6,678.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.81 / $1,797.61 / $3,592.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $759.09 / $1,209.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,314.50 / $25,330.44 / $36,365.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.55 / $2,003.61 / $3,045.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.00 / $1,365.30 / $2,178.28