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West 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
$1,400.00 / $7,982.48 / $18,593.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.57 / $587.94 / $640.55
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,389.71 / $6,389.71 / $10,256.53