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Maine 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
$331.13 / $19,054.61 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $19,054.61 / $30,902.95