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Idaho rates for MS-DRG 516

Other musculoskelet sys & conn tiss O.R. proc w CC

Facilitymedian $28,184 · 10th–90th $18,197–$45,7090%10%20%10th90th$28,184$10.0K$20.0K$50.0K

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
$18,197.01 / $18,197.01 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $29,512.09 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $54,954.09 / $69,183.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $35,481.34 / $41,686.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $28,840.32 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $29,512.09 / $69,183.10