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Maine rates for MS-DRG 489

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,387.21 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $17,378.01 / $33,884.42
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38