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Pennsylvania rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.58 / $3,964.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.78 / $990.86 / $2,100.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.23 / $1,023.45 / $1,800.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.98 / $1,112.98 / $1,112.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.44 / $1,181.61 / $1,948.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.97 / $1,578.76 / $2,010.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.90 / $2,258.90 / $31,226.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.88 / $1,009.10 / $1,662.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.59 / $1,138.30 / $4,221.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.40 / $882.40 / $2,004.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.98 / $1,112.98 / $1,112.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.44 / $1,210.51 / $1,981.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.86 / $960.33 / $960.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.71 / $960.33 / $1,016.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.06 / $1,169.32 / $1,959.63