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Lower Extremity and Humerus Procedures (with MCC)

Washington rates for MS-DRG 492

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

Rates data updated July 2026.

Facilitymedian $79,433 · 10th–90th $47,863$120,2260%10%10th90th$79,433$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
$61,659.50
Median
$93,325.43
Typical High
$151,356.12
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$70,794.58
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$79,432.82
Typical High
$120,226.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$58,884.37
Typical High
$61,659.50
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$67,608.30
Typical High
$102,329.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$72,443.60
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$72,443.60
Typical High
$107,151.93