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New York rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Facilitymedian $51,286 · 10th–90th $19,953$81,2830%10%10th90th$51,286$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$16,595.87 / $43,651.58 / $81,283.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $67,608.30 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $58,884.37 / $75,857.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $52,480.75 / $128,824.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $43,651.58 / $72,443.60