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Missouri 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
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $76.20 / $93.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $1,127.28 / $5,275.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,500.00 / $11,343.00