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West Virginia rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $50,119 · 10th–90th $43,652$89,1250%20%10th90th$50,119$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $70,794.58 / $97,723.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $45,708.82 / $72,443.60