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North Dakota 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
$1,390.81 / $1,390.81 / $9,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$695.41 / $695.41 / $695.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.81 / $1,966.17 / $2,780.14