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South Dakota rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $34,674 · 10th–90th $28,184–$42,6580%50%10th90th$34,674$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
$32,359.37 / $32,359.37 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $34,673.69 / $34,673.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $28,183.83 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $31,622.78 / $52,480.75