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Pennsylvania rates for MS-DRG 481

Hip And Femur Procedures Except Major Joint With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,888.20 / $34,243.00 / $46,761.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,783.59 / $22,783.59 / $22,783.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,361.00 / $34,807.51 / $50,632.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,106.00 / $30,701.18 / $45,564.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,513.17 / $34,513.17 / $41,908.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,533.22 / $39,880.62 / $58,787.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,370.90 / $32,889.90 / $46,275.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,065.13 / $28,039.07 / $43,738.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,104.35 / $23,061.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,741.52 / $30,020.47 / $47,888.65