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Idaho rates for HCPCS 29884

Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.03 / $4,500.00 / $6,939.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.01 / $1,214.99 / $1,510.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.98 / $7,849.65 / $9,927.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00