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Pennsylvania rates for MS-DRG 485

Knee procedures with principal diagnosis of infection with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,537.60 / $52,759.90 / $72,048.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $58,657.68 / $80,381.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $47,212.47 / $68,027.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,176.15 / $53,176.15 / $64,571.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,622.89 / $67,729.83 / $86,531.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,102.00 / $52,759.90 / $71,650.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,649.36 / $43,201.19 / $67,862.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $24,691.49 / $35,828.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,009.24 / $40,677.60 / $73,784.41