go back

Oklahoma rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,283.02 / $1,597.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.01 / $1,747.01 / $1,747.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,104.02 / $19,229.00 / $30,381.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.20 / $1,577.45 / $1,887.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,668.11 / $13,668.11 / $13,668.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.03 / $1,578.79 / $1,975.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.02 / $1,763.17 / $14,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.48 / $1,401.77 / $9,345.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.74 / $1,294.61 / $1,800.54