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Alaska rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,518.30 / $96,647.50 / $196,362.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147,730.50 / $147,730.50 / $156,960.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $57,093.38 / $87,113.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $55,218.05 / $156,960.90