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Wisconsin rates for MS-DRG 470

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

Facilitymedian $34,674 · 10th–90th $19,498$52,4810%10%10th90th$34,674$200.0$1.0K$5.0K$20.0K

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
$28,840.32 / $34,673.69 / $35,481.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $37,153.52 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $33,113.11 / $53,703.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $28,840.32 / $37,153.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,113.11 / $52,480.75
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $22,387.21 / $28,840.32
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $28,183.83 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,884.42 / $50,118.72