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Lower Extremity and Humerus Procedures (with CC)

West Virginia rates for MS-DRG 493

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

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with CC) cost?

$23,988

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $23,442 to $35,481.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $22,909 to $47,863
$5K$10K$20K$50Kfacility $23,988

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$34,673.69
Typical High
$47,863.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$56,234.13
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$23,442.29
Typical High
$35,481.34

Where West Virginia sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 46th of 51

$23,988

NY $66,069NM $20,417

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.