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Idaho rates for HCPCS 27486

Revj Total Knee Arthrp W/Wo Algrft 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,387.60 / $3,387.60 / $19,238.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.66 / $2,530.84 / $3,416.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$22,055.73 / $26,784.60 / $45,718.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $45,126.00