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Idaho rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $7,761.00 / $9,633.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.35 / $2,339.91 / $3,339.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.36 / $2,463.00 / $2,874.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.87 / $2,894.09 / $3,914.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.52 / $2,910.02 / $3,819.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,275.80 / $2,863.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $18,057.93 / $24,016.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.26 / $3,303.84 / $3,819.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.09 / $2,485.90 / $3,386.70