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Oklahoma 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
$1,293.00 / $4,192.00 / $7,310.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,587.26 / $8,738.79 / $13,706.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.03 / $745.31 / $6,840.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.55 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94