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Pennsylvania rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,870.50 / $41,462.69 / $56,621.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,295.83 / $31,295.83 / $31,295.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,909.00 / $36,623.89 / $56,865.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,663.09 / $37,174.15 / $53,460.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,789.86 / $41,789.86 / $50,744.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,623.06 / $39,913.51 / $60,255.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,830.00 / $40,577.60 / $56,032.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,371.34 / $33,950.76 / $52,875.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $18,559.71 / $26,685.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,589.98 / $31,967.54 / $57,985.39