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Idaho rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $40,738 · 10th–90th $26,915–$70,7950%10%20%10th90th$40,738$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
$26,915.35 / $26,915.35 / $26,915.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $42,657.95 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $79,432.82 / $100,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $50,118.72 / $64,565.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $45,708.82 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $42,657.95 / $56,234.13