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Transplanting Cartilage Plugs Into The Knee

Wisconsin 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 $13,804 · 10th–90th $3,311$22,9090%10%10th90th$13,804Professionalmedian $1,549 · 10th–90th $891$4,6770%10%20%10th90th$1,549$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
$954.99
Median
$1,995.26
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$4,466.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$5,754.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,238.72
Typical High
$15,848.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,290.87
Typical High
$3,981.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$3,162.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$13,489.63
Typical High
$19,952.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$4,677.35
Typical High
$7,079.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$5,370.32
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$2,884.03
Typical High
$5,754.40