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Montana rates for HCPCS 27447

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

Facilitymedian $9,120 · 10th–90th $2,188–$29,5120%10%10th90th$9,120Professionalmedian $1,622 · 10th–90th $324–$9,1200%10%20%10th90th$1,622$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
$5,888.44 / $11,220.18 / $29,512.09
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $52,480.75
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,949.84 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$169.82 / $331.13 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,862.09 / $2,290.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,238.72 / $2,818.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,238.72 / $2,818.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,137.96 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,862.09 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,290.87 / $3,388.44