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New Jersey rates for HCPCS 27447

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

Facilitymedian $12,882 · 10th–90th $2,951–$25,1190%10%10th90th$12,882Professionalmedian $1,514 · 10th–90th $309–$17,7830%10%10th90th$1,514$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
$2,951.21 / $12,022.64 / $25,118.86
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $15,135.61 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,995.26 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$173.78 / $338.84 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,698.24 / $2,137.96
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $15,135.61 / $23,988.33
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $16,595.87 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,041.74 / $4,265.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,445.44 / $1,995.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $35,481.34 / $61,659.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,715.19 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,513.56 / $4,073.80