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California rates for MS-DRG 489

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,138.00 / $28,163.00 / $33,762.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $20,634.00 / $35,845.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $16,514.34 / $34,283.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,289.84 / $28,355.00 / $41,140.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,600.80 / $32,817.60 / $38,514.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,752.30 / $21,830.09 / $41,161.75
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,291.00 / $19,291.00 / $19,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,760.00 / $18,830.36 / $41,902.33