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Pennsylvania rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,110.50 / $60,027.00 / $81,972.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $56,308.98 / $84,483.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,534.00 / $50,668.08 / $77,397.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,500.62 / $60,500.62 / $73,465.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,676.98 / $57,527.18 / $157,304.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,051.69 / $57,655.10 / $81,120.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,534.00 / $49,074.61 / $76,549.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $27,162.20 / $39,467.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,779.21 / $46,280.52 / $83,947.46