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West Virginia rates for HCPCS 29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,685.12 / $12,948.03 / $28,664.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.75 / $1,116.90 / $1,396.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.88 / $1,104.88 / $1,104.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.68 / $109.68 / $109.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,326.03 / $15,730.01 / $57,936.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00