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Utah rates for MS-DRG 487

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

Facilitymedian $23,988 · 10th–90th $21,380–$33,1130%20%40%10th90th$23,988$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
$22,387.21 / $23,988.33 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $33,113.11 / $45,708.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $24,547.09 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $22,387.21 / $28,183.83