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New York 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
$21,877.62 / $57,543.99 / $107,151.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $81,283.05 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $75,857.76 / $97,723.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $70,794.58 / $169,824.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $60,255.96 / $107,151.93