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Maine rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $95,499 · 10th–90th $35,481–$120,2260%20%10th90th$95,499$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $102,329.30 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $67,608.30 / $154,881.66
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30