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Michigan 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
$660.50 / $3,033.79 / $9,180.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,410.68 / $5,955.84 / $13,986.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.50 / $4,680.02 / $9,180.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00