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Pennsylvania rates for MS-DRG 473

Cervical Spinal Fusion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,345.20 / $39,912.80 / $57,043.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,053.44 / $40,053.44 / $40,053.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,976.00 / $39,092.83 / $60,044.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,104.11 / $35,784.58 / $51,462.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,227.74 / $40,227.74 / $48,847.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,937.34 / $40,658.39 / $53,480.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,015.60 / $39,912.80 / $54,504.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,067.00 / $32,681.68 / $50,898.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $18,305.09 / $26,310.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,354.49 / $31,974.00 / $55,817.88