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Nebraska rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.51 / $8,042.03 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.00 / $1,487.69 / $8,034.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,529.12 / $3,529.12 / $3,529.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.00 / $10,338.04 / $19,997.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.42 / $2,448.44 / $3,264.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.00 / $3,632.43 / $4,869.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.69 / $2,603.46 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.19 / $3,299.73 / $4,508.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.34 / $4,009.46 / $9,687.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.17 / $3,447.96 / $4,869.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,163.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.19 / $3,380.72 / $4,297.33