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Pennsylvania rates for MS-DRG 470

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,394.80 / $31,535.60 / $46,495.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,967.84 / $19,967.84 / $31,596.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,753.00 / $35,156.01 / $45,918.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,706.20 / $29,570.04 / $42,914.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,425.00 / $29,425.00 / $29,425.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,626.65 / $27,297.20 / $42,456.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,918.40 / $30,862.40 / $45,070.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,715.89 / $26,040.15 / $40,215.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,688.49 / $20,956.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,971.31 / $27,646.92 / $42,327.78