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California rates for MS-DRG 468

Revision of hip or knee replacement w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $56,234.13 / $100,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $75,857.76 / $100,000.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $51,286.14 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $47,863.01 / $104,712.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $97,723.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $53,703.18 / $107,151.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $60,255.96 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $41,686.94 / $93,325.43