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West Virginia rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $69,183 · 10th–90th $57,544$100,0000%20%10th90th$69,183$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $75,857.76 / $104,712.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104,712.85 / $104,712.85 / $128,824.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $69,183.10 / $89,125.09