go back

Utah rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.55 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.31 / $1,373.55 / $5,121.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.25 / $1,377.18 / $2,735.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $568.80 / $916.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.22 / $1,539.71 / $2,329.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.87 / $1,016.80 / $1,643.14