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South Carolina rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $95,499 · 10th–90th $39,811$199,5260%10%20%10th90th$95,499$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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 / $95,499.26 / $218,776.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $93,325.43 / $169,824.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $97,723.72 / $165,958.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $114,815.36 / $194,984.46