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Virginia 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
$12,499.20 / $19,357.50 / $21,896.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.20 / $20,876.93 / $28,713.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,542.13 / $18,755.54 / $34,480.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,330.00 / $21,918.00 / $80,536.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $21,104.80 / $29,690.13