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Pennsylvania rates for HCPCS 29874

Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.17 / $4,845.00 / $8,778.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.28 / $612.28 / $612.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.86 / $8,710.74 / $11,421.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.17 / $4,761.00 / $10,203.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.28 / $612.28 / $612.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $526.00 / $688.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $4,476.00 / $10,443.12