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Indiana rates for HCPCS 27415

Osteochondral Allograft Knee Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.28 / $4,846.00 / $15,116.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.97 / $1,293.63 / $2,159.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.85 / $26,904.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.92 / $1,658.85 / $2,289.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.54 / $1,732.89 / $2,599.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.78 / $1,485.34 / $2,228.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,744.18 / $14,744.18 / $17,477.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.46 / $1,653.09 / $2,766.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,649.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.19 / $1,508.89 / $2,725.53