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Nebraska 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
$3,752.78 / $9,185.68 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,522.03 / $5,947.70 / $11,504.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.29 / $819.52 / $5,341.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.55 / $849.00 / $849.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.46 / $1,285.00 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00