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Tennessee 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
$1,148.15 / $2,951.21 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $12,882.50 / $12,882.50
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $12,589.25 / $25,703.96