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Wisconsin 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
$954.99 / $1,995.26 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,000.00 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $4,466.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,089.30 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,137.96 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,677.35 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $5,370.32 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $3,981.07