go back

Idaho rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $5,519.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,370.39 / $1,992.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.25 / $1,440.41 / $1,710.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.40 / $1,894.99 / $2,390.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.89 / $1,742.06 / $2,282.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,362.64 / $1,714.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.74 / $1,976.17 / $2,282.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.68 / $1,473.16 / $2,096.42