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New York rates for MS-DRG 470

Major joint replacement or reattachment of lower extremity w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $42,657.95 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $64,565.42 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $53,703.18 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $48,977.88 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $42,657.95 / $72,443.60