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North Carolina rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $38,905 · 10th–90th $25,119$60,2560%10%10th90th$38,905$2.0K$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
$27,542.29 / $38,904.51 / $50,118.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $34,673.69 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $44,668.36 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $45,708.82 / $75,857.76