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Utah rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $6,457 · 10th–90th $3,162$11,2200%10%10th90th$6,457Professionalmedian $1,230 · 10th–90th $891$1,6980%20%10th90th$1,230$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$3,162.28 / $6,456.54 / $9,332.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $25,118.86 / $38,904.51
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,128.61 / $47,863.01