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Missouri 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
$2,035.00 / $6,284.00 / $20,183.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$738.23 / $738.23 / $1,050.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,720.00 / $24,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,661.00 / $9,661.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.46 / $2,610.38 / $9,147.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,534.21 / $3,534.21 / $6,418.56
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$441.78 / $441.78 / $802.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $6,123.00 / $18,797.00