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Washington 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
$57,019.90 / $90,945.50 / $160,155.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,206.22 / $72,627.92 / $105,580.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,724.18 / $70,715.02 / $118,464.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,820.05 / $57,255.00 / $67,848.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,543.82 / $65,768.07 / $98,808.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,926.94 / $70,647.61 / $96,128.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $56,964.87 / $155,646.47