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Wisconsin rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $54,954 · 10th–90th $30,903–$79,4330%10%10th90th$54,954$500.0$2.0K$10.0K$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
$45,708.82 / $53,703.18 / $56,234.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $57,543.99 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $51,286.14 / $85,113.80
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $45,708.82 / $57,543.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $48,977.88 / $87,096.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $34,673.69 / $44,668.36
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $61,659.50 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $51,286.14 / $70,794.58