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Pennsylvania rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,643.00 / $19,295.09 / $26,349.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,688.00 / $20,109.62 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,329.11 / $18,411.12 / $26,257.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,447.34 / $19,447.34 / $23,614.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,032.93 / $21,482.52 / $41,755.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,624.20 / $19,295.09 / $26,349.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.95 / $15,956.30 / $24,605.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,287.42 / $12,926.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,489.11 / $14,876.42 / $26,984.09