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Pennsylvania rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,912.69 / $63,955.70 / $87,337.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $65,825.14 / $93,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,095.22 / $53,984.22 / $82,462.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,460.29 / $64,460.29 / $78,273.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,575.03 / $72,129.11 / $114,370.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,277.50 / $62,590.40 / $86,726.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,872.56 / $52,286.46 / $80,139.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $29,077.55 / $42,250.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $49,978.43 / $82,247.70