go back

Wisconsin rates for MS-DRG 469

Major hip and knee joint replacement or reattachment of lower extremity with MCC or total ankle replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,613.30 / $45,613.30 / $54,060.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,619.01 / $57,627.18 / $86,695.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,043.35 / $50,051.59 / $78,559.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,377.06 / $51,719.09 / $87,659.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.97 / $33,069.44 / $47,248.27
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,981.46 / $52,908.65 / $62,180.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,278.25 / $51,437.01 / $71,140.67