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Lower Extremity and Humerus Procedures (without CC/MCC)

New Jersey rates for MS-DRG 494

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

Rates data updated July 2026.

Facilitymedian $42,658 · 10th–90th $23,988$64,5650%10%10th90th$42,658$5.0K$10.0K$20.0K$50.0K$100.0K

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
$28,183.83
Median
$47,863.01
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$48,977.88
Typical High
$64,565.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$33,884.42
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$19,054.61
Typical High
$54,954.09