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Pennsylvania rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $34,673.69 / $50,118.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $40,738.03 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $32,359.37 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $34,673.69 / $43,651.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $30,902.95 / $39,810.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $33,884.42 / $48,977.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,952.62 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $25,118.86 / $43,651.58