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Michigan 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
$2,244.30 / $2,330.61 / $7,069.55
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,122.15 / $12,424.40 / $12,424.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,606.61 / $20,664.98 / $27,997.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.66 / $2,399.63 / $8,060.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,122.15 / $12,424.40 / $12,424.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $11,464.00 / $14,085.00