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Hawaii rates for HCPCS 27486

Revision of total knee arthroplasty, with or without allograft; 1 component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,966.00 / $8,499.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.67 / $1,679.64 / $1,959.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00