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Pennsylvania rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $50,118.72 / $72,443.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $57,543.99 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $46,773.51 / $67,608.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $53,703.18 / $64,565.42
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $50,118.72 / $63,095.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $63,095.73 / $831,763.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $47,863.01 / $70,794.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $26,915.35 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $35,481.34 / $63,095.73