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Indiana rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.30 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $918.78 / $1,233.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.10 / $24,714.00 / $35,662.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.61 / $1,305.83 / $1,785.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.64 / $1,242.07 / $1,863.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.19 / $1,108.99 / $1,596.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.91 / $1,129.04 / $1,838.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.68 / $1,048.58 / $1,891.48