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Montana rates for HCPCS 29884

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,071.52 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,380.38