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Montana rates for HCPCS 29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,440.60 / $8,458.20 / $13,597.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.90 / $1,546.90 / $1,546.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.41 / $1,051.06 / $1,546.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.99 / $1,214.99 / $14,287.46