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New York 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
$8,415.09 / $19,458.00 / $32,852.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,967.99 / $35,566.83 / $46,119.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,397.53 / $27,662.02 / $40,717.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,481.44 / $27,463.23 / $65,081.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,945.29 / $12,945.29 / $12,945.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,397.53 / $29,852.06 / $40,941.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,619.74 / $25,541.22 / $42,815.00