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Missouri rates for MS-DRG 507

Major Shoulder Or Elbow Joint Procedures With Cc/Mcc

Facilitymedian $20,893 · 10th–90th $12,589–$33,8840%10%20%10th90th$20,893$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
$17,782.79 / $19,498.45 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $20,892.96 / $35,481.34
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
$17,378.01 / $20,892.96 / $34,673.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $22,387.21 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $19,952.62 / $29,512.09