go back

Missouri rates for HCPCS 27488

Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.01 / $5,691.00 / $20,183.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $10,814.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.97 / $1,701.12 / $5,717.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$305.14 / $305.14 / $552.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.00 / $4,432.00 / $12,989.00