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Tennessee rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $998.50 / $1,603.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.74 / $1,281.82 / $2,019.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.10 / $1,334.07 / $2,036.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,913.50 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,097.52 / $7,235.44 / $8,460.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.06 / $1,093.99 / $1,973.64