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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
$30,902.95 / $56,234.13 / $114,815.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $95,499.26 / $141,253.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $58,884.37 / $123,026.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $50,118.72 / $112,201.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $53,703.18 / $144,543.98
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,113.80 / $85,113.80 / $85,113.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $43,651.58 / $117,489.76