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Indiana rates for HCPCS G0428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $805.20 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.74 / $59.74 / $115.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $78.84 / $124.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.40 / $124.00 / $124.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,167.00 / $10,396.00