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Indiana rates for HCPCS 27486

Revj Total Knee Arthrp W/Wo Algrft 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.70 / $2,318.00 / $10,985.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$648.35 / $648.35 / $1,666.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,400.00 / $35,883.76 / $50,348.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.91 / $1,768.17 / $2,652.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $15,288.00 / $23,366.00