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Pennsylvania rates for MS-DRG 486

Knee procedures with principal diagnosis of infection with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,139.80 / $34,187.40 / $48,860.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,675.00 / $37,912.35 / $51,507.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,111.02 / $30,651.34 / $45,564.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,457.15 / $34,457.15 / $41,840.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,106.70 / $31,427.18 / $46,077.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,857.50 / $34,187.40 / $46,685.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,037.43 / $27,993.56 / $44,708.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,448.30 / $23,570.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,725.70 / $26,358.32 / $47,810.91