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Oklahoma 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
$1,456.00 / $4,928.00 / $18,600.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$736.59 / $736.59 / $736.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.00 / $2,007.40 / $14,457.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,844.84 / $5,159.08 / $5,159.08
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$355.61 / $644.89 / $644.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23