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Pennsylvania rates for MS-DRG 477

Biopsies of musculoskeletal system & connective tissue w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,620.00 / $56,479.30 / $77,127.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $58,524.12 / $82,211.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,387.06 / $48,559.00 / $72,822.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,924.90 / $56,924.90 / $69,123.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,523.64 / $74,792.47 / $90,441.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,153.60 / $56,479.30 / $76,325.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,387.06 / $46,174.18 / $72,494.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,305.91 / $38,220.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,067.34 / $43,545.23 / $78,985.97