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Idaho rates for HCPCS 27487

Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,227.72 / $4,657.00 / $21,864.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.23 / $3,163.27 / $4,263.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $45,126.00