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New Jersey 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
$23,175.60 / $37,122.30 / $48,322.80
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,592.10 / $54,592.10 / $54,592.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,354.66 / $37,068.00 / $50,208.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,192.00 / $16,192.00 / $16,192.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,331.00 / $25,777.00 / $40,973.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $45,790.02