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Vermont rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $79,433 · 10th–90th $63,096$154,8820%20%40%10th90th$79,433$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $141,253.75 / $154,881.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $79,432.82 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $194,984.46