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New Jersey rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,624.71 / $134,896.29 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $134,896.29 / $177,827.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,000.00 / $100,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $117,489.76 / $190,546.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $21,379.62 / $151,356.12