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Wisconsin 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
$603.36 / $2,273.98 / $19,214.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.81 / $1,887.03 / $2,894.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.36 / $873.05 / $1,571.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.36 / $1,258.74 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.36 / $873.05 / $1,571.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.30 / $1,506.38 / $2,248.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00