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Pennsylvania rates for MS-DRG 487

Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,335.40 / $25,605.80 / $34,967.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,892.00 / $28,340.70 / $38,973.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,707.38 / $23,864.00 / $34,844.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,807.84 / $25,807.84 / $31,338.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,791.83 / $27,938.73 / $32,876.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,124.00 / $25,605.80 / $34,967.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,897.66 / $21,143.70 / $33,310.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,405.46 / $17,561.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $20,127.24 / $32,929.36