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Missouri rates for MS-DRG 495

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

Facilitymedian $41,687 · 10th–90th $25,119–$64,5650%10%10th90th$41,687$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $39,810.72 / $51,286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $41,686.94 / $69,183.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $42,657.95 / $61,659.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $42,657.95 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $38,018.94 / $54,954.09