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Pennsylvania rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,509.10 / $40,205.50 / $54,904.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,122.09 / $31,122.09 / $46,658.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,188.00 / $40,385.14 / $58,168.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,145.00 / $36,046.94 / $51,839.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,522.69 / $40,522.69 / $49,206.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,177.99 / $40,262.12 / $55,419.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,177.10 / $39,347.19 / $54,333.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,036.55 / $32,921.31 / $51,271.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $18,088.16 / $25,990.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,437.74 / $30,998.22 / $56,227.15