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Virginia 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
$1,036.05 / $5,967.00 / $9,768.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.39 / $568.39 / $776.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.48 / $56.48 / $56.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.55 / $615.98 / $727.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.95 / $658.33 / $1,019.40
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.16 / $123.65 / $195.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.10 / $631.19 / $2,230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00