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California 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
$22,809.76 / $34,004.00 / $51,850.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $25,820.00 / $52,568.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $23,013.14 / $50,809.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,185.60 / $35,833.00 / $66,658.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,408.55 / $49,963.10 / $58,635.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,179.17 / $34,100.47 / $66,894.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,925.00 / $21,925.00 / $21,925.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $26,467.00 / $57,215.00