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Montana 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
$4,229.10 / $4,229.10 / $5,479.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.59 / $796.59 / $796.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.67 / $542.66 / $796.59