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Massachusetts rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $87,096 · 10th–90th $38,019–$144,5440%10%10th90th$87,096$1.0K$5.0K$20.0K$100.0K

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
$41,686.94 / $87,096.36 / $144,543.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $79,432.82 / $208,929.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $83,176.38 / $123,026.88
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $758.58 / $117,489.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $79,432.82 / $208,929.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $79,432.82 / $208,929.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $63,095.73 / $165,958.69