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California rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.77 / $951.65 / $5,121.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,780.00 / $25,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.53 / $1,385.22 / $2,765.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,377.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.13 / $941.16 / $2,142.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,980.00 / $6,894.76 / $12,348.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.26 / $1,209.45 / $2,635.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $1,130.66 / $4,922.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.13 / $1,275.18 / $2,354.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,599.05 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,097.52 / $7,235.44 / $8,460.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.19 / $1,258.99 / $1,824.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.67 / $1,263.38 / $2,616.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,178.02 / $3,178.02 / $3,178.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.38 / $1,026.43 / $1,260.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,087.45 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.91 / $1,004.08 / $2,150.60