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Massachusetts rates for MS-DRG 492

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

Facilitymedian $57,544 · 10th–90th $25,119–$95,4990%10%20%10th90th$57,544$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $57,543.99 / $95,499.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $52,480.75 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $54,954.09 / $81,283.05
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $524.81 / $79,432.82
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $52,480.75 / $141,253.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $52,480.75 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $42,657.95 / $109,647.82