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Pennsylvania rates for MS-DRG 488

Knee procedures without principal diagnosis of infection with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,190.70 / $28,919.70 / $39,492.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,784.00 / $33,181.87 / $48,123.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,320.44 / $25,928.54 / $39,791.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,147.93 / $29,147.93 / $35,393.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,556.86 / $36,633.42 / $63,453.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,951.90 / $28,919.70 / $39,492.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,412.27 / $23,864.00 / $39,791.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,285.03 / $21,843.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,227.15 / $24,355.98 / $40,444.12