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Pennsylvania rates for MS-DRG 483

Major joint/limb reattachment procedure of upper extremities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,997.00 / $45,317.80 / $61,885.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,066.00 / $41,602.69 / $60,620.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $40,630.51 / $58,431.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,675.37 / $45,675.37 / $55,462.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.74 / $38,522.64 / $48,979.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,952.60 / $43,527.10 / $61,242.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,584.30 / $37,107.43 / $57,791.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $19,667.75 / $28,320.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,892.11 / $34,939.80 / $63,376.72