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Louisiana 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
$638.71 / $2,562.00 / $5,858.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.40 / $5,047.04 / $7,775.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.09 / $2,993.42 / $2,993.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00