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Maine 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
$9,562.04 / $13,045.34 / $14,547.20
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$7,408.21 / $7,408.21 / $7,408.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.95 / $13,045.34 / $36,299.51
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$7,408.21 / $7,408.21 / $7,408.21