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Nebraska rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.18 / $890.18 / $4,778.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.38 / $1,466.55 / $1,955.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $2,155.42 / $2,889.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.18 / $1,602.32 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.03 / $1,959.85 / $2,682.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.53 / $2,399.23 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.96 / $2,137.28 / $2,889.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.03 / $1,999.57 / $2,404.69