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New Hampshire rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $83,176 · 10th–90th $51,286–$123,0270%10%10th90th$83,176$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $83,176.38 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $70,794.58 / $114,815.36
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $104,712.85 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $117,489.76