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Transplanting Cartilage Plugs Into The Knee

Massachusetts 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 $3,631 · 10th–90th $1,096$7,7620%10%10th90th$3,631Professionalmedian $1,230 · 10th–90th $891$2,6920%10%10th90th$1,230$100.0$500.0$2.0K$10.0K$50.0K

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
$1,949.84
Median
$3,715.35
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$2,570.40
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,981.07
Typical High
$16,595.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$2,754.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$4,168.69
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,737.80
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$2,754.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,981.07
Typical High
$16,595.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,888.44
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,884.03