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Oregon rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $1,660 · 10th–90th $1,148–$15,8490%20%10th90th$1,660Professionalmedian $1,698 · 10th–90th $1,445–$2,1880%50%10th90th$1,698$10.0$50.0$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
$1,659.59 / $7,943.28 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,380.38 / $2,041.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $1,949.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $45,708.82 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $25,118.86 / $56,234.13