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California rates for MS-DRG 462

Bilateral or multiple major joint procs of lower extremity w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,620.00 / $43,872.00 / $104,497.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $41,241.58 / $132,822.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $36,478.89 / $87,922.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,595.00 / $54,501.22 / $145,506.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,264.35 / $75,890.70 / $89,064.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,595.00 / $45,001.88 / $143,204.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,901.00 / $85,901.00 / $85,901.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $32,497.22 / $83,990.00