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Transplanting Cartilage Plugs Into The Knee

South Dakota rates for HCPCS 27416

Takes small cylinders of cartilage with the bone beneath them from a part of the knee that carries little weight, and presses them into a damaged area of the joint surface through an open incision. The transplanted plugs restore a smooth surface where cartilage has been lost. The tissue comes from the patient's own knee, so there is no risk of rejection.

Facilitymedian $1,514 · 10th–90th $977$4,3650%20%10th90th$1,514Professionalmedian $1,259 · 10th–90th $912$2,4550%20%10th90th$1,259$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,818.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,778.28
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,137.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$2,344.23