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Idaho rates for HCPCS 27415

Osteochondral allograft, knee, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $5,519.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.97 / $1,744.93 / $2,782.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,207.56 / $13,207.56 / $13,244.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.54 / $2,044.00 / $2,393.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.51 / $2,410.94 / $3,253.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.28 / $2,430.85 / $3,186.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,146.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,890.63 / $34,178.19 / $43,515.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.41 / $2,759.31 / $3,186.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.35 / $2,094.55 / $2,935.57