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Wisconsin 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
$489.78 / $8,317.64 / $12,302.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,023.29 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,148.15 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,737.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$602.56 / $602.56 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25