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Knee Procedures without Pdx of Infection with Complications

West Virginia rates for MS-DRG 488

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

Rates data updated July 2026.

Facilitymedian $16,596 · 10th–90th $14,125$31,6230%20%10th90th$16,596$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$23,988.33
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$58,884.37
Typical High
$389,045.14
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$14,454.40
Typical High
$24,547.09