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Connecticut rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $138,038 · 10th–90th $89,125–$194,9840%10%10th90th$138,038$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $138,038.43 / $194,984.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $117,489.76 / $158,489.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $131,825.67 / $177,827.94
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $123,026.88 / $165,958.69