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Illinois 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
$10,471.29 / $14,454.40 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $12,589.25 / $22,387.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $141.25 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $13,803.84 / $20,417.38