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Pennsylvania rates for MS-DRG 468

Revision of hip or knee replacement w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $45,708.82 / $66,069.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $51,286.14 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $41,686.94 / $64,565.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $48,977.88 / $58,884.37
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $45,708.82 / $56,234.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $43,651.58 / $54,954.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $41,686.94 / $63,095.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $25,118.86 / $42,657.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $33,113.11 / $57,543.99