go back

Pennsylvania rates for HCPCS 29916

Arthroscopy Hip W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.21 / $6,522.00 / $12,652.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.83 / $1,149.83 / $1,149.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.08 / $114.08 / $114.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,387.99 / $15,089.40 / $33,242.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.00 / $6,239.00 / $11,133.27
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.83 / $1,149.83 / $1,149.83
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.08 / $114.08 / $114.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $996.37 / $1,153.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $4,563.00 / $8,261.00