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Washington, DC rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $134,896 · 10th–90th $100,000$186,2090%20%10th90th$134,896$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
$131,825.67 / $151,356.12 / $186,208.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91,201.08 / $120,226.44 / $223,872.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $109,647.82 / $199,526.23