go back

California rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $59,175.00 / $142,720.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $83,753.67 / $147,885.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $74,762.34 / $149,490.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,839.00 / $104,649.80 / $170,626.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111,994.78 / $162,622.54 / $190,851.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,130.00 / $90,606.00 / $175,085.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88,174.00 / $88,174.00 / $88,174.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $47,871.00 / $146,795.82