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South Carolina 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
$2,120.00 / $5,868.00 / $34,973.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,914.09 / $22,914.09 / $33,624.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,558.11 / $22,185.64 / $35,963.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,137.00 / $38,506.74 / $60,516.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,609.00 / $44,199.18 / $67,462.53