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Colorado rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $69,183 · 10th–90th $41,687$109,6480%20%10th90th$69,183$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $75,857.76 / $91,201.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $74,131.02 / $131,825.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $48,977.88 / $75,857.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $56,234.13 / $81,283.05