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Lower Extremity and Humerus Procedures (without CC/MCC)

Massachusetts rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated July 2026.

Facilitymedian $31,623 · 10th–90th $15,136$52,4810%10%10th90th$31,623$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$33,113.11
Typical High
$52,480.75
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$30,199.52
Typical High
$44,668.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$43,651.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,908.68
Typical High
$60,255.96