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Connecticut rates for MS-DRG 495

Local excision and removal of internal fixation devices except hip and femur with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,689.00 / $85,084.30 / $126,900.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,450.64 / $73,574.37 / $98,576.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,838.71 / $83,565.13 / $116,480.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $84,199.63 / $108,321.41