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Montana rates for HCPCS 27486

Revj Total Knee Arthrp W/Wo Algrft 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,962.08 / $27,962.08 / $27,962.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.98 / $2,220.98 / $2,220.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.92 / $1,512.39 / $2,220.98