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Maine rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $64,565 · 10th–90th $34,674$81,2830%20%10th90th$64,565$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
$33,113.11 / $70,794.58 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $45,708.82 / $104,712.85
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $45,708.82