go back

Louisiana rates for HCPCS 27415

Osteochondral allograft, knee, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $2,125.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.03 / $1,721.57 / $2,420.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,636.67 / $18,288.82 / $27,158.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.81 / $1,784.46 / $2,476.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.99 / $16,185.43 / $16,185.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.83 / $1,865.14 / $2,596.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.92 / $1,562.50 / $2,879.13