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Nationwide rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $6,918 · 10th–90th $1,259$22,3870%5%10%10th90th$6,918Professionalmedian $1,259 · 10th–90th $776$3,2360%10%10th90th$1,259$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,623.41 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $11,748.98 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,019.95 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $9,332.54 / $26,302.68