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Illinois rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $37,154 · 10th–90th $22,909–$53,7030%10%10th90th$37,154$100.0$500.0$2.0K$10.0K$50.0K

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
$27,542.29 / $38,904.51 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,884.42 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $33,113.11 / $60,255.96
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $380.19 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $34,673.69 / $53,703.18