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Iowa rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $5,248 · 10th–90th $1,318–$19,9530%10%10th90th$5,248Professionalmedian $1,549 · 10th–90th $794–$2,9510%10%10th90th$1,549$200.0$1.0K$5.0K$20.0K

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
$1,318.26 / $5,011.87 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,238.72 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,905.46 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $15,135.61 / $33,884.42