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Pennsylvania rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,263.10 / $47,613.20 / $66,105.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $52,729.07 / $74,936.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,982.79 / $42,688.49 / $61,996.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,988.88 / $47,988.88 / $58,272.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,772.64 / $46,231.50 / $74,051.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,543.80 / $47,613.20 / $65,020.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $38,986.96 / $61,391.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $22,627.34 / $32,687.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $37,207.54 / $61,100.05