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California rates for MS-DRG 512

Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,954.20 / $33,850.00 / $42,777.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,044.60 / $23,044.60 / $23,044.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,137.00 / $24,221.00 / $44,132.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $20,627.95 / $44,834.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,883.49 / $37,751.40 / $58,078.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,342.35 / $42,606.70 / $50,002.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,129.84 / $29,415.00 / $54,272.29
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,193.00 / $23,193.00 / $23,193.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,760.00 / $27,074.07 / $50,541.02