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Knee arthroscopy at Lewisgale Hospital-pulaski. CPT 29881.

What Lewisgale Hospital-pulaski publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$4,250–$14,112range insurers pay
Insurance planNegotiated rate
Universal Healthcare Group | MCR$4,250
Lifeworks | MCR$4,950
Anthem | HIX$5,949
Anthem | HMO$6,610
Anthem | PPO$6,610
Sentara Optima Health | HMO$8,403
Sentara Optima Health | POS$8,403
Sentara Optima Health | PPO$8,403
United | AllPayerAppendix$11,129
Aetna | SharedSavings$14,112
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All common services at Lewisgale Hospital-pulaski