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Louisiana 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
$12,641.00 / $17,442.50 / $29,192.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,730.72 / $24,730.72 / $24,730.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,494.00 / $18,591.03 / $28,801.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,782.00 / $19,623.57 / $32,908.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $20,024.87 / $35,216.08