go back

California rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,402.00 / $7,213.98 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,263.55 / $4,637.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.00 / $12,321.00 / $23,933.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.30 / $1,678.65 / $3,472.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,826.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.28 / $1,365.23 / $3,040.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,500.00 / $16,650.30 / $29,821.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.75 / $1,524.00 / $3,305.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $1,415.96 / $1,911.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.35 / $1,594.80 / $2,896.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,738.15 / $33,500.00 / $48,089.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,345.25 / $9,345.25 / $10,556.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.64 / $1,597.28 / $2,550.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.71 / $1,579.85 / $3,262.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,967.03 / $3,967.03 / $3,967.03
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.99 / $1,214.29 / $1,571.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,797.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.01 / $1,271.52 / $2,723.64