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Pennsylvania rates for MS-DRG 239

Amputation for circ sys disorders exc upper limb & toe w MCC

Facilitymedian $79,433 · 10th–90th $43,652–$114,8150%10%10th90th$79,433$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$44,668.36 / $81,283.05 / $114,815.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $89,125.09 / $131,825.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $74,131.02 / $107,151.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $104,712.85
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $79,432.82 / $97,723.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $77,624.71 / $112,201.85
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $79,432.82 / $112,201.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $41,686.94 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $63,095.73 / $114,815.36