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Virginia 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
$936.90 / $5,087.00 / $8,925.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.28 / $612.28 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.65 / $662.59 / $782.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.05 / $712.57 / $1,103.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.64 / $683.62 / $2,341.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $8,621.00 / $17,187.00