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Illinois rates for MS-DRG 522

Hip replacement with principal diagnosis of hip fracture without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,429.90 / $25,941.80 / $39,688.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,267.41 / $23,553.13 / $35,116.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,856.89 / $22,593.74 / $42,354.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $241.57 / $395.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,669.64 / $25,412.40 / $40,960.55