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Michigan 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 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.21 / $6,992.73 / $13,417.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.17 / $3,254.94 / $4,111.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $2,327.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,327.00