Knee arthroscopy at Upper Valley Medical Center. CPT 29881.
What Upper Valley Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,207–$9,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Hmo | Aetna Medicare | $3,207 |
| Medicare Hmo | Humana Medicare | $3,271 |
| Medicare Hmo | Communicare Advantage I-Snp | $3,303 |
| Medicare Hmo | Buckeye Medicare Advantage | $3,367 |
| Medicare Hmo | Devoted Health Plans | $3,399 |
| Anthem | Anthem Marketplace-Exchange Plans | $4,621 |
| Contracted Commercial | Caresource Marketplace | $4,810 |
| Anthem | Anthem Blue Connection High Performance Network | $7,425 |
| Uhc | United Healthcare | $7,853 |
| Uhc | United Healthcare All Savers | $7,853 |
| Uhc | United Healthcare Choice Plus | $7,853 |
| Uhc | United Healthcare Golden Rule | $7,853 |
| Uhc | United Healthcare Ppo | $7,853 |
| Uhc | United Healthcare River Valley | $7,853 |
| Uhc | United Healthcare Surest | $7,853 |
| Uhc | United Medical Resources | $7,853 |
| Anthem | Anthem Bcbs | $9,900 |
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