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Pennsylvania rates for MS-DRG 239

Amputation for circulatory system disorders except upper limb and toe with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,048.30 / $80,464.89 / $109,882.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $83,489.00 / $118,666.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,593.12 / $67,919.46 / $106,177.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,099.77 / $81,099.77 / $98,478.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,709.54 / $76,974.42 / $98,176.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,383.90 / $79,267.00 / $109,882.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,593.12 / $65,783.44 / $103,749.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $38,412.00 / $55,978.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,890.83 / $62,038.03 / $112,529.75