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Pennsylvania rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,186.00 / $59,276.60 / $80,947.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $57,064.00 / $85,143.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,693.97 / $50,034.66 / $76,429.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,744.28 / $59,744.28 / $72,546.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,852.26 / $93,149.01 / $112,185.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,696.60 / $58,011.20 / $80,106.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,693.97 / $48,461.11 / $75,592.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,927.37 / $39,126.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,863.13 / $45,701.95 / $82,898.00