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Lower Extremity and Humerus Procedures (with MCC)

New York rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated July 2026.

Facilitymedian $95,499 · 10th–90th $39,811$144,5440%10%10th90th$95,499$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$75,857.76
Typical High
$144,543.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$120,226.44
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$102,329.30
Typical High
$131,825.67
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$91,201.08
Typical High
$181,970.09
United
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$75,857.76
Typical High
$125,892.54