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New Mexico rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $29,512 · 10th–90th $12,882$70,7950%10%10th90th$29,512$5.0K$10.0K$20.0K$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
$37,153.52 / $54,954.09 / $70,794.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $22,908.68 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $26,302.68 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $26,302.68 / $48,977.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $33,884.42 / $43,651.58