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California rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,783.00 / $55,493.90 / $91,295.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $45,241.40 / $91,320.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $39,351.30 / $79,208.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,638.00 / $66,464.35 / $103,546.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,673.25 / $77,936.50 / $91,465.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,567.83 / $49,220.78 / $105,280.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,325.00 / $54,325.00 / $54,325.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,069.00 / $49,104.29 / $100,101.58