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Virginia 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
$1,584.89 / $4,466.84 / $19,054.61
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $30,199.52 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $2,818.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $26,915.35 / $41,686.94