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Idaho 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
$17,657.20 / $17,657.20 / $17,657.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,142.15 / $70,257.60 / $73,397.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,074.07 / $38,376.48 / $41,198.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $23,593.04 / $39,077.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,506.43 / $28,091.00 / $41,229.00