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Louisiana 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
$900.00 / $2,779.16 / $5,604.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,108.16 / $1,154.98 / $1,949.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.43 / $9,462.25 / $14,166.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.43 / $1,289.43 / $1,289.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.00 / $10,045.00 / $34,611.00