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Washington 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
$31,160.90 / $49,701.00 / $87,523.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,311.97 / $24,311.97 / $27,699.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,700.08 / $39,212.08 / $57,003.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,813.34 / $38,645.19 / $64,739.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,122.18 / $30,553.05 / $36,098.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,781.09 / $35,124.98 / $53,346.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,955.73 / $37,757.83 / $51,333.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $31,130.85 / $85,059.55