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Pennsylvania rates for MS-DRG 479

Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc

Facilitymedian $30,200 · 10th–90th $15,488–$42,6580%10%10th90th$30,200$2.0K$5.0K$10.0K$20.0K$50.0K

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
$16,982.44 / $30,902.95 / $43,651.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $32,359.37 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $29,512.09 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $39,810.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $30,902.95 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $35,481.34 / $43,651.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $42,657.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,454.40 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $23,988.33 / $43,651.58