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North Carolina 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
$680.20 / $5,850.94 / $10,439.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.06 / $2,297.06 / $2,330.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.86 / $694.46 / $1,187.93
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.16 / $113.26 / $180.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.65 / $8,957.00 / $33,500.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.42 / $510.42 / $849.00