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New Jersey rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $125,893 · 10th–90th $66,069$165,9590%10%20%10th90th$125,893$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$72,443.60 / $125,892.54 / $165,958.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $125,892.54 / $165,958.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $112,201.85 / $165,958.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $144,543.98