go back

Ohio 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
$2,023.93 / $6,964.57 / $17,473.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$680.54 / $1,011.97 / $2,822.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,745.00 / $30,285.00 / $53,822.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.44 / $1,599.71 / $2,124.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.74 / $6,926.30 / $23,814.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,259.83 / $1,259.83 / $1,259.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$157.47 / $157.47 / $157.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.00 / $10,707.00 / $16,745.00