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Ohio 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
$2,525.48 / $7,645.00 / $17,258.24
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$849.19 / $1,262.74 / $3,762.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,745.00 / $30,285.00 / $53,822.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.61 / $1,993.93 / $2,648.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.25 / $1,984.25 / $22,097.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,569.13 / $1,569.13 / $1,569.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$196.14 / $196.14 / $196.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,136.00 / $12,167.00 / $15,869.00