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Maryland rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.15 / $2,207.15 / $2,207.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $990.86 / $4,221.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.60 / $1,067.60 / $1,355.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $1,335.00 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $1,266.06 / $2,240.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.07 / $1,339.43 / $2,015.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.67 / $1,062.89 / $1,882.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.09 / $1,194.07 / $1,466.16