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Pennsylvania rates for MS-DRG 241

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,063.20 / $22,633.60 / $31,040.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,436.00 / $27,744.43 / $35,854.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,116.27 / $21,596.64 / $31,828.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,812.14 / $22,812.14 / $27,700.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,413.80 / $38,732.29 / $41,029.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,484.50 / $22,633.60 / $30,908.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,400.53 / $20,253.77 / $31,828.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,884.65 / $16,780.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,438.84 / $17,450.36 / $31,652.92