go back

New Hampshire rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,757.62 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.30 / $1,830.81 / $2,533.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.68 / $2,693.44 / $4,132.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.42 / $1,865.42 / $1,865.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.13 / $3,095.23 / $4,835.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.76 / $3,036.36 / $5,712.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.76 / $2,531.79 / $4,969.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.76 / $1,429.74 / $1,819.66