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Michigan rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,109.33 / $4,933.00 / $16,660.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.67 / $1,711.28 / $2,589.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,279.79 / $7,370.62 / $9,986.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.12 / $2,364.46 / $4,032.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.38 / $1,889.45 / $3,483.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.72 / $4,112.00 / $16,660.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.98 / $1,880.37 / $2,735.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $1,102.62 / $1,889.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $9,143.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.20 / $2,004.24 / $2,734.81