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Colorado rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $9,550 · 10th–90th $1,445–$42,6580%5%10th90th$9,550Professionalmedian $1,230 · 10th–90th $794–$3,8020%20%40%10th90th$1,230$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $5,495.41 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $26,915.35 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $12,022.64 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,230.27 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $15,135.61 / $28,183.83