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Connecticut rates for HCPCS G0428

Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)

Facilitymedian $5,248 · 10th–90th $4,266$10,4710%20%10th90th$5,248Professionalmedian $813 · 10th–90th $813$8130%50%$813$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $2,344.23
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $39,810.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,754.40 / $15,135.61