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Pennsylvania rates for MS-DRG 471

Cervical spinal fusion w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,545.20 / $78,944.39 / $107,806.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $84,354.45 / $121,527.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,882.76 / $66,636.06 / $102,391.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,567.32 / $79,567.32 / $96,617.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,208.22 / $76,436.97 / $135,718.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,468.00 / $77,643.00 / $107,806.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,882.76 / $64,540.40 / $101,789.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $37,059.89 / $53,983.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,458.28 / $60,382.89 / $110,403.40