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Maine rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.84 / $4,754.18 / $4,754.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.35 / $2,078.84 / $2,589.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.85 / $2,228.28 / $3,154.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.53 / $2,494.61 / $3,533.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.17 / $2,383.63 / $3,656.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.35 / $4,754.18 / $37,112.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.35 / $2,078.84 / $2,629.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.93 / $2,227.19 / $3,262.82