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New Mexico rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $31,623 · 10th–90th $13,804–$74,1310%5%10%10th90th$31,623$5.0K$10.0K$20.0K$50.0K

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
$39,810.72 / $57,543.99 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $24,547.09 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $28,183.83 / $52,480.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $28,183.83 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $36,307.81 / $46,773.51