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West Virginia rates for MS-DRG 542

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC

Rates data updated July 2026.

Facilitymedian $29,512 · 10th–90th $16,596$34,6740%20%10th90th$29,512$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$23,988.33
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$30,199.52
Typical High
$34,673.69