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Arizona rates for HCPCS 29875

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $6,864.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,356.00 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.07 / $654.88 / $6,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.55 / $128.55 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00