go back

Illinois 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
$18,409.59 / $24,579.60 / $35,133.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,460.07 / $22,307.64 / $33,259.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,468.11 / $21,389.29 / $39,829.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $228.88 / $374.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,139.00 / $24,078.00 / $38,809.72