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Virginia rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $48,978 · 10th–90th $25,704–$67,6080%10%20%10th90th$48,978$1.0K$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
$26,915.35 / $52,480.75 / $85,113.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $53,703.18 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $47,863.01 / $72,443.60
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $45,708.82 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $39,810.72 / $81,283.05