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Virginia rates for MS-DRG 462

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

Facilitymedian $50,119 · 10th–90th $32,359$63,0960%20%10th90th$50,119$1.0K$2.0K$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
$32,359.37 / $50,118.72 / $53,703.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $52,480.75 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $42,657.95 / $63,095.73
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $48,977.88 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $47,863.01 / $75,857.76