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Florida rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $89,125 · 10th–90th $40,738$186,2090%10%10th90th$89,125$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$51,286.14 / $97,723.72 / $194,984.46
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $57,543.99 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $91,201.08 / $147,910.84
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $81,283.05 / $158,489.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $93,325.43 / $134,896.29