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West 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
$2,156.14 / $14,337.51 / $14,337.51
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$694.31 / $694.31 / $1,078.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.89 / $1,669.78 / $1,819.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.74 / $1,589.74 / $1,589.74
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,259.83 / $1,259.83 / $1,259.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$157.47 / $157.47 / $157.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,585.58 / $12,585.58 / $12,585.58