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Utah rates for HCPCS 27416

Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,302.69 / $28,183.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $3,235.94
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,819.70 / $2,344.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,584.89