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Illinois rates for HCPCS G0428

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

Facilitymedian $3,236 · 10th–90th $813–$9,7720%5%10%10th90th$3,236Professionalmedian $813 · 10th–90th $813–$8130%50%$813$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $190.55
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $1,513.56 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,951.21 / $7,413.10