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Idaho rates for HCPCS 29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.14 / $7,870.80 / $24,229.32
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$622.74 / $622.74 / $622.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,556.25 / $5,556.25 / $5,571.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.81 / $1,989.20 / $2,406.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00