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New Jersey rates for MS-DRG 492

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

Facilitymedian $87,096 · 10th–90th $46,774–$117,4900%10%10th90th$87,096$5.0K$10.0K$20.0K$50.0K$100.0K

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
$51,286.14 / $87,096.36 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $89,125.09 / $117,489.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $74,131.02 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $102,329.30