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Missouri rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $33,113 · 10th–90th $12,882–$58,8840%10%10th90th$33,113$5.0K$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
$24,547.09 / $33,113.11 / $42,657.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $33,113.11 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $34,673.69 / $58,884.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $37,153.52 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,113.11 / $48,977.88