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New York rates for MS-DRG 487

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

Facilitymedian $38,905 · 10th–90th $15,136$61,6600%10%10th90th$38,905$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$12,589.25 / $32,359.37 / $61,659.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $50,118.72 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $43,651.58 / $56,234.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $39,810.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $33,113.11 / $53,703.18