go back

New Mexico rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $52,481 · 10th–90th $22,909–$128,8250%5%10%10th90th$52,481$5.0K$10.0K$20.0K$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
$67,608.30 / $100,000.00 / $128,824.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $40,738.03 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $47,863.01 / $89,125.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $47,863.01 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $61,659.50 / $79,432.82