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Pennsylvania rates for MS-DRG 456

Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,781.89 / $137,387.00 / $199,722.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $157,019.63 / $233,452.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,546.48 / $113,613.97 / $178,530.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138,471.23 / $138,471.23 / $168,143.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,073.86 / $100,419.10 / $188,196.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,706.20 / $134,454.00 / $196,354.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,815.42 / $112,319.84 / $175,202.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $64,310.01 / $94,124.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,084.21 / $105,084.52 / $192,135.34