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Michigan rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.90 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,323.68 / $2,483.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.81 / $1,733.81 / $1,747.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,824.17 / $14,616.12 / $34,324.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $1,690.42 / $2,928.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.26 / $1,389.47 / $2,594.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.21 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.67 / $1,399.63 / $2,077.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $827.86 / $1,404.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.27 / $1,472.44 / $2,014.29