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Montana rates for HCPCS 27416

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $1,659.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $1,995.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,137.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,318.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $1,862.09