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New Jersey 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
$38,904.51 / $66,069.34 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $67,608.30 / $87,096.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,794.58 / $70,794.58 / $70,794.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $58,884.37 / $89,125.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $21,379.62 / $75,857.76