go back

Idaho rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $7,761.00 / $20,972.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,560.55 / $2,483.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,178.32 / $10,178.32 / $10,206.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.10 / $1,809.00 / $2,134.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.18 / $2,309.28 / $2,980.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.90 / $2,174.08 / $2,846.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,700.85 / $1,920.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,376.03 / $34,178.19 / $43,515.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.41 / $2,468.71 / $2,846.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.37 / $1,836.64 / $2,613.67