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Transplanting Cartilage Plugs Into The Knee

Iowa rates for HCPCS 27416

Takes small cylinders of cartilage with the bone beneath them from a part of the knee that carries little weight, and presses them into a damaged area of the joint surface through an open incision. The transplanted plugs restore a smooth surface where cartilage has been lost. The tissue comes from the patient's own knee, so there is no risk of rejection.

Facilitymedian $4,786 · 10th–90th $1,549$13,4900%5%10%10th90th$4,786Professionalmedian $1,122 · 10th–90th $891$2,6920%10%20%10th90th$1,122$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,786.30
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,238.72
Typical High
$2,818.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,570.40
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,481.54
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,905.46
Typical High
$2,238.72