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Alaska rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,607.80 / $52,817.10 / $107,310.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,733.53 / $80,733.53 / $85,777.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $31,201.08 / $46,255.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $29,319.52 / $85,777.88