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Virginia 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
$812.83 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $162.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,248.07 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $5,248.07 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,388.44 / $7,079.46