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Louisiana 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
$900.00 / $2,694.00 / $5,432.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$884.25 / $920.87 / $1,553.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,399.67 / $18,824.54 / $28,184.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,244.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $9,403.00 / $23,200.00