Knee arthroscopy at Southwestern Vermont Medical Center. CPT 29881.
What Southwestern Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$452cash price (self-pay)
$646list price
$71.20–$2,067range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA | Medicare Advantage | $81.37 |
| CDPHP | Medicare | $81.37 |
| Blue Cross | Medicare | $81.37 |
| Fidelis | Medicare | $81.37 |
| HNE | Medicare | $81.37 |
| Humana | Medicare | $81.37 |
| MVP | Medicare | $81.37 |
| UHC | Medicare | $81.37 |
| Wellcare | Medicare | $81.37 |
| Fidelis | Medicaid | $81.37 |
| Fidelis | CHP | $81.37 |
| Fidelis | Essential (Aliessa) | $81.37 |
| Aetna | Medicare | $81.37 |
| Fidelis | Exchange (QHP) | $85.44 |
| Fidelis | Essential | $85.44 |
| Health New England | Commercial | $95.00 |
| Allegiance | SWVT Employee Only | $114 |
| UHC | Commercial | $114 |
| CDPHP | Commercial/Exchange | $116 |
| Blue Cross | All Vermont Plans | $169 |
| CDPHP | Essential Plan 3 & 4 | $366 |
| CDPHP | Essential Plan 1 & 2 | $366 |
| MVP | Medicaid | $400 |
| MVP | Essential plan 1,2,5,6 | $400 |
| UHC | Medicaid | $400 |
| BMC | Healthnet Plan | $429 |
| HNE | Medicaid | $429 |
| CDPHP | Medicaid/CHP | $453 |
| MVP | NY Exchange Individual Plans | $569 |
| Aetna | PPO | $744 |
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