go back

Pennsylvania rates for MS-DRG 467

Revision of hip or knee replacement w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,746.50 / $57,656.40 / $78,734.89
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,582.56 / $45,582.56 / $45,582.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $58,573.42 / $85,357.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,514.00 / $51,692.90 / $74,340.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,111.31 / $58,111.31 / $70,563.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,851.32 / $50,430.58 / $67,467.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,803.70 / $53,942.90 / $77,916.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,733.29 / $47,210.59 / $73,526.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,201.47 / $38,065.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,402.22 / $44,100.13 / $80,632.17