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California rates for MS-DRG 466

Revision of hip or knee replacement with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,620.00 / $43,872.00 / $110,984.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,933.00 / $72,460.49 / $127,130.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $64,632.04 / $116,010.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,724.00 / $98,631.92 / $158,910.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,976.45 / $135,006.90 / $158,442.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,032.00 / $86,251.28 / $161,565.21
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,917.00 / $64,917.00 / $64,917.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $41,279.00 / $138,354.32