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Michigan rates for MS-DRG 512

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

Facilitymedian $20,893 · 10th–90th $8,710$61,6600%5%10th90th$20,893$1.0K$5.0K$20.0K$100.0K$500.0K

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
$13,489.63 / $21,877.62 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $36,307.81 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $20,417.38 / $60,255.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $20,417.38 / $27,542.29
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $20,892.96 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $18,620.87 / $30,199.52