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Maine rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $945.18 / $1,235.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.88 / $1,330.20 / $1,888.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.76 / $1,483.10 / $2,112.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.30 / $1,426.93 / $2,188.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.80 / $945.18 / $1,235.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.90 / $1,331.47 / $1,955.71