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Transplanting Cartilage Plugs Into The Knee

Indiana 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 $26,303 · 10th–90th $2,399$38,9050%10%10th90th$26,303Professionalmedian $1,023 · 10th–90th $891$2,4550%20%10th90th$1,023$200.0$1.0K$5.0K$20.0K

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
$1,380.38
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$30,902.95
Typical High
$43,651.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,549.93
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,819.70