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Michigan rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $20,893 · 10th–90th $8,710–$63,0960%5%10th90th$20,893$1.0K$5.0K$20.0K$100.0K$500.0K

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
$23,988.33 / $39,810.72 / $52,480.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $69,183.10 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $20,417.38 / $60,255.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $38,018.94 / $50,118.72
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $20,892.96 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $33,884.42 / $54,954.09