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Montana rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,229.01 / $6,393.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.56 / $1,947.56 / $1,947.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.56 / $1,947.56 / $1,947.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.19 / $1,947.56 / $2,059.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.24 / $1,325.83 / $1,947.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.63 / $1,947.56 / $2,541.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.31 / $2,013.23 / $2,324.52