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Washington rates for HCPCS 29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.40 / $16,398.00 / $49,721.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $21,054.96 / $33,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,495.98 / $2,488.28 / $2,488.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $1,621.00 / $10,962.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.69 / $2,161.19 / $9,613.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.58 / $1,897.44 / $1,971.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.25 / $1,344.49 / $8,980.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,793.48 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.00 / $7,137.00 / $19,271.00