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New Jersey rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Facilitymedian $47,863 · 10th–90th $25,119–$64,5650%10%10th90th$47,863$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $47,863.01 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $47,863.01 / $64,565.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $30,199.52 / $30,199.52
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $38,904.51 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $19,952.62 / $54,954.09