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Indiana 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
$40,719.50 / $67,546.80 / $90,642.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,935.36 / $54,970.64 / $87,955.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,436.21 / $54,385.50 / $124,727.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,462.12 / $53,573.34 / $75,893.14