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Tennessee 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
$1,656.00 / $3,939.75 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$776.70 / $1,689.43 / $2,315.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $7,178.00 / $13,734.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,953.60 / $16,290.64
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,534.21 / $6,929.94 / $6,929.94
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$441.78 / $866.24 / $866.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.00 / $13,492.00 / $25,891.00