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Virginia 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
$1,036.00 / $5,091.00 / $9,620.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $707.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$70.31 / $70.31 / $70.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.05 / $765.52 / $904.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.89 / $815.50 / $1,261.26
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.39 / $145.76 / $222.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.23 / $785.79 / $2,694.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00