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Michigan rates for HCPCS 27416

Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,584.89 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,089.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,951.21 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,584.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,513.56