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South Carolina rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.32 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,008.50 / $1,535.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,835.02 / $10,783.42 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.00 / $960.20 / $1,556.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.98 / $2,345.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.01 / $1,316.59 / $2,168.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.65 / $1,269.97 / $2,160.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $703.98 / $1,310.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.89 / $1,060.25 / $2,218.19