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Pennsylvania rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,522.30 / $37,205.40 / $50,807.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,034.33 / $23,034.33 / $23,034.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,088.00 / $36,721.61 / $52,335.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,712.00 / $33,357.21 / $48,559.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,498.98 / $37,498.98 / $45,534.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,653.51 / $25,278.22 / $46,804.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,485.90 / $36,411.19 / $50,279.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,740.39 / $30,721.95 / $47,446.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,722.49 / $23,975.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,584.28 / $28,685.20 / $52,031.60