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Missouri rates for MS-DRG 462

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

Facilitymedian $30,903 · 10th–90th $15,849–$61,6600%10%10th90th$30,903$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $33,113.11 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $30,199.52 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $31,622.78 / $60,255.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $33,113.11 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $29,512.09 / $53,703.18