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New York 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
$21,165.60 / $46,550.00 / $79,298.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,821.25 / $81,864.58 / $105,230.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,201.14 / $66,065.83 / $97,515.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,873.76 / $65,646.14 / $139,139.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,959.80 / $73,059.56 / $117,847.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $59,272.78 / $104,277.32