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Texas 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
$921.00 / $3,966.00 / $11,348.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.33 / $4,243.05 / $8,384.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,849.85 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.09 / $2,993.42 / $2,993.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.39 / $568.39 / $568.39
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.48 / $56.48 / $56.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,817.95 / $26,542.00 / $33,500.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.42 / $849.00 / $849.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.38 / $626.48 / $1,087.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.38 / $630.54 / $1,115.21
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.48 / $56.48 / $161.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00