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Pennsylvania rates for MS-DRG 005

Spinal Disorders and Injuries with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,372.00 / $168,566.00 / $236,894.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $184,685.79 / $293,271.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169,896.42 / $169,896.42 / $206,302.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317,426.55 / $435,776.64 / $456,309.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,980.10 / $168,566.00 / $230,192.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $80,858.12 / $118,353.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,954.14 / $129,963.85 / $235,739.27