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Idaho 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
$9,827.84 / $9,827.84 / $13,515.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,578.45 / $39,104.75 / $40,852.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,025.75 / $22,930.55 / $26,905.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $15,622.25 / $25,875.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,413.70 / $15,635.20 / $40,158.00