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West 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
$5,569.30 / $5,569.30 / $6,307.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.14 / $733.87 / $799.56
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
$9,677.93 / $9,677.93 / $9,677.93