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Wisconsin rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.51 / $1,996.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $987.14 / $4,221.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.71 / $2,184.26 / $5,815.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,367.51 / $10,367.51 / $10,367.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.92 / $2,940.06 / $4,510.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.42 / $3,865.13 / $4,392.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.51 / $1,235.92 / $2,091.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.51 / $1,962.48 / $13,442.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.64 / $1,886.31 / $7,235.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $588.03 / $1,857.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.51 / $1,235.92 / $2,091.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.80 / $2,369.66 / $3,537.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.08 / $4,662.64 / $7,235.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,129.38 / $3,129.38 / $3,129.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.65 / $4,806.74 / $6,151.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.42 / $1,966.48 / $4,103.13