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Pennsylvania rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Facilitymedian $39,811 · 10th–90th $21,878$56,2340%10%10th90th$39,811$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $40,738.03 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $43,651.58 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $38,904.51 / $51,286.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $52,480.75
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $40,738.03 / $50,118.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $38,904.51 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $38,018.94 / $56,234.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $19,498.45 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $31,622.78 / $57,543.99