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Michigan rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.81 / $2,910.97 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,009.95 / $1,306.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,599.93 / $8,920.09 / $12,085.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.62 / $1,489.96 / $2,570.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.40 / $1,087.42 / $2,077.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.58 / $2,910.97 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.25 / $1,108.33 / $1,576.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $674.10 / $1,131.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.30 / $1,164.43 / $1,617.45