go back

New York 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
$43,651.58 / $114,815.36 / $213,796.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,026.88 / $181,970.09 / $223,872.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $151,356.12 / $199,526.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,432.82 / $138,038.43 / $346,736.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $117,489.76 / $194,984.46