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New York rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,678.00 / $56,474.30 / $94,931.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,306.33 / $92,458.29 / $119,889.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,051.02 / $79,932.03 / $117,656.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,245.57 / $79,254.35 / $166,198.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,051.02 / $86,260.38 / $118,305.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $71,909.47 / $110,950.93