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Utah rates for HCPCS 27415

Osteochondral Allograft Knee Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.03 / $4,387.00 / $9,832.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.79 / $1,679.18 / $4,588.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.96 / $1,980.14 / $3,813.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $795.52 / $1,287.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,314.50 / $25,330.44 / $36,365.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.52 / $2,149.01 / $3,274.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.08 / $1,461.88 / $2,300.85