go back

New Jersey rates for MS-DRG 470

Major hip and knee joint replacement or reattachment of lower extremity without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,908.00 / $39,258.00 / $54,491.40
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,281.62 / $40,281.62 / $40,281.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,767.64 / $40,110.00 / $58,503.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,416.00 / $65,416.00 / $65,416.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,661.00 / $34,403.00 / $51,639.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,529.00 / $53,355.30