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Pennsylvania rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,713.40 / $70,184.60 / $95,843.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $65,623.48 / $100,417.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,790.19 / $59,242.02 / $94,537.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,738.41 / $70,738.41 / $85,896.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,393.42 / $85,536.99 / $151,614.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,653.00 / $67,411.39 / $94,847.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,790.19 / $57,378.90 / $90,494.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $34,253.23 / $49,841.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,618.55 / $54,112.00 / $98,152.87