CPT 01404
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Anes opn/arthrs disrtcj knee
Low
$1
Average
$206
Median
$70
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 33.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 17 | $38 | $1.6k | $2.6k | 166% | — | $29 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 15 | $18 | $72 | $100 | 140% | — | $4 – $358 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 13 | $74 | $99 | $118 | 120% | — | $0 – $637 |
| 4 | Medicaid fee schedule · outpatient · +1 other terms | 10 | $637 | $637 | — | — | — | $637 – $637 |
| 5 | Molina fee schedule · outpatient · +3 other terms | 10 | $17 | $42 | $32 | 76% | — | $16 – $85 |
| 6 | Humana professional · fee schedule · both · +5 other terms | 9 | $20 | $21 | $10 | 46% | — | $15 – $64 |
| 7 | WellCare professional · fee schedule · both · +2 other terms | 9 | $14 | $15 | $10 | 63% | — | $0 – $42 |
| 8 | Aetna Better Health professional · fee schedule · both · +1 other terms | 8 | $10 | $11 | $9 | 81% | — | $0 – $21 |
| 9 | Anthem professional · fee schedule · both · +4 other terms | 8 | $34 | $60 | $67 | 112% | — | $15 – $279 |
| 10 | Bcbs Il professional · fee schedule · both | 7 | $10 | $8 | $10 | 120% | — | $0 – $21 |
← Hospitals reporting CPT 01404 · Snapshot 20261113T090226Z-3ce6c0b8