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Utah rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,339.91 / $4,387.00 / $8,659.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.00 / $1,704.42 / $3,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.83 / $2,391.00 / $4,612.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $939.05 / $1,531.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.04 / $2,575.25 / $3,947.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $4,912.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.70 / $1,717.20 / $2,766.59