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Maine rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $50,118.72 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $38,904.51 / $75,857.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $36,307.81 / $36,307.81