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Maine rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $104,713 · 10th–90th $69,183$128,8250%20%10th90th$104,713$50.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $109,647.82 / $128,824.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $85,113.80 / $165,958.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $95,499.26 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10