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Tennessee 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
$9,333.10 / $15,755.80 / $27,725.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,193.50 / $17,998.81 / $30,277.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,489.91 / $14,523.01 / $20,053.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,817.60 / $32,817.60 / $38,514.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.00 / $14,981.87 / $19,613.24