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Pennsylvania rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,094.59 / $32,804.30 / $44,797.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,554.99 / $38,554.99 / $38,554.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,766.00 / $29,127.00 / $43,016.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,523.53 / $29,411.28 / $44,640.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,063.11 / $33,063.11 / $40,148.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,367.20 / $29,669.65 / $56,285.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,062.50 / $31,508.10 / $44,331.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,326.13 / $26,861.02 / $41,833.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,688.49 / $20,956.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,169.70 / $25,291.93 / $45,876.62