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Nationwide rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Facilitymedian $25,704 · 10th–90th $10,000$58,8840%10%10th90th$25,704$1.0$10.0$100.0$1.0K$10.0K$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
$19,054.61 / $33,884.42 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $38,904.51 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,379.62 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $26,302.68 / $51,286.14