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California rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $83,176.38 / $154,881.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $85,113.80 / $131,825.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $74,131.02 / $125,892.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $72,443.60 / $128,824.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,824.96 / $128,824.96 / $128,824.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $89,125.09 / $128,824.96
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $51,286.14 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $72,443.60 / $141,253.75