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Pennsylvania rates for MS-DRG 240

Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,090.60 / $46,602.80 / $63,640.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $47,952.00 / $68,807.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $41,782.62 / $61,389.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,970.54 / $46,970.54 / $57,035.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,332.31 / $46,356.29 / $102,412.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,705.80 / $46,602.80 / $63,640.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,224.71 / $38,159.64 / $60,088.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $22,408.89 / $32,365.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,257.68 / $35,930.55 / $65,173.83