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New Hampshire rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.56 / $1,009.95 / $1,285.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.81 / $1,659.61 / $2,473.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.98 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.83 / $1,852.97 / $2,894.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.94 / $1,817.69 / $3,419.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.13 / $1,453.19 / $2,797.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.62 / $850.98 / $1,083.07