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Indiana rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $56,234 · 10th–90th $31,623–$70,7950%20%10th90th$56,234$200.0$1.0K$5.0K$20.0K$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
$42,657.95 / $58,884.37 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $54,954.09 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $46,773.51 / $104,712.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $42,657.95 / $60,255.96