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New Jersey rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,179.40 / $72,648.50 / $94,202.30
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150,021.15 / $150,021.15 / $150,021.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,629.58 / $72,261.00 / $97,877.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,999.00 / $38,999.00 / $38,999.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,449.00 / $54,637.00 / $88,943.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $89,264.81