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Maine rates for MS-DRG 487

Knee procedures w pdx of infection w/o CC/MCC

Facilitymedian $29,512 · 10th–90th $20,417$36,3080%20%10th90th$29,512$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $30,902.95 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $23,988.33 / $46,773.51
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $25,703.96 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $20,417.38