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Montana rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,370.39 / $5,121.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.00 / $1,559.00 / $1,559.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.00 / $1,559.00 / $1,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.96 / $1,559.00 / $1,647.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.60 / $1,062.33 / $1,779.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.03 / $1,559.00 / $2,038.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.51 / $1,614.81 / $1,859.22