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Minnesota 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
$1,380.38 / $1,380.38 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $25,703.96 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$30,199.52 / $53,703.18 / $138,038.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,011.87 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$239.88 / $239.88 / $239.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,786.30 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,754.23 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,128.31 / $28,183.83