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Pennsylvania rates for HCPCS 27447

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

Facilitymedian $15,136 · 10th–90th $3,890$36,3080%10%10th90th$15,136Professionalmedian $1,349 · 10th–90th $200$3,5480%10%20%10th90th$1,349$10.0$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
$3,715.35 / $14,791.08 / $33,884.42
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,090.30 / $23,988.33 / $38,018.94
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,248.07 / $26,915.35 / $63,095.73
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,621.81 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$169.82 / $323.59 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $1,148.15 / $2,187.76
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $20,417.38 / $107,151.93
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,659.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,949.84 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,659.59 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,862.09 / $2,398.83
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $26,302.68 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$12,882.50 / $60,255.96 / $77,624.71
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,943.28 / $23,442.29 / $87,096.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,659.59 / $2,238.72
Highmark BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$208.93 / $229.09 / $302.00
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $19,498.45 / $29,512.09
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,862.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $8,511.38 / $41,686.94
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,621.81 / $2,818.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,041.74 / $3,162.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,041.74 / $2,630.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,318.26 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,964.78 / $40,738.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,621.81 / $2,884.03
United
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38