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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
$23,442.29 / $41,686.94 / $58,884.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $38,018.94 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $38,904.51 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $53,703.18
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $41,686.94 / $52,480.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $41,686.94 / $58,884.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $38,904.51 / $57,543.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $19,498.45 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $30,199.52 / $53,703.18