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Connecticut rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $69,183 · 10th–90th $42,658–$104,7130%10%10th90th$69,183$10.0K$20.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $69,183.10 / $104,712.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $70,794.58 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $72,443.60 / $97,723.72
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $67,608.30 / $91,201.08