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Vermont rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,156.61 / $1,171.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.21 / $1,681.49 / $2,191.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.95 / $1,456.59 / $2,191.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.14 / $1,376.41 / $4,001.32