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Pennsylvania rates for MS-DRG 464

Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,088.40 / $50,922.20 / $69,538.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $50,027.26 / $75,017.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,377.30 / $45,568.06 / $65,657.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,324.03 / $51,324.03 / $62,322.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,728.83 / $54,722.37 / $85,305.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,038.50 / $48,910.10 / $69,538.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $42,048.45 / $64,938.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $22,683.93 / $32,772.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,486.47 / $39,260.79 / $71,214.50