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Wisconsin rates for HCPCS G0428

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

Rates data updated July 2026.

How much does HCPCS G0428 cost?

$813

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $2,884 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$813 to $813
FacilityA hospital or hospital-owned outpatient department$2,884$813 to $7,413

How much rates vary

Facilitymedian $2,884 · 10th to 90th $813 to $17,783Professionalmedian $813 · 10th to 90th $813 to $813
$50$200$1K$5K$20Kfacility $2,884professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$162.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,025.60
Typical High
$11,220.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,454.71
Typical High
$7,943.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 19.5 times more in California than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 40th of 51

$813

CA $3,802OH $195

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.