go back

Missouri rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $3,697.00 / $9,304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.61 / $1,662.69 / $3,662.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.92 / $1,405.92 / $1,405.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,286.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.15 / $1,922.00 / $3,164.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.13 / $2,218.51 / $3,582.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.61 / $2,329.38 / $6,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.68 / $2,323.35 / $12,090.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.00 / $4,390.00 / $9,961.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.32 / $2,161.58 / $3,433.87