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Pennsylvania 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
$749.00 / $4,606.00 / $11,023.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.51 / $707.51 / $707.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$70.31 / $70.31 / $70.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,964.13 / $6,853.46 / $11,456.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.24 / $4,747.00 / $10,915.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.51 / $707.51 / $707.51
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$70.31 / $70.31 / $70.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.60 / $607.60 / $702.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00