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Pennsylvania rates for MS-DRG 464

Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC

Facilitymedian $51,286 · 10th–90th $25,704–$72,4440%10%10th90th$51,286$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$28,183.83 / $51,286.14 / $72,443.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $54,954.09 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $46,773.51 / $66,069.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $66,069.34
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $51,286.14 / $63,095.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $52,480.75 / $85,113.80
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $47,863.01 / $70,794.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $23,442.29 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $39,810.72 / $72,443.60