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Transplanting Cartilage Plugs Into The Knee

Utah 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 $6,026 · 10th–90th $3,162$10,2330%10%10th90th$6,026Professionalmedian $1,380 · 10th–90th $891$5,3700%10%20%10th90th$1,380$50.0$200.0$1.0K$5.0K$20.0K

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
$1,380.38
Median
$6,025.60
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,905.46
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$3,235.94
Select Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,819.70
Typical High
$2,344.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,698.24