go back

Pennsylvania rates for MS-DRG 496

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,511.09 / $29,492.00 / $42,149.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,508.00 / $32,817.90 / $48,301.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,623.58 / $26,441.57 / $40,578.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,724.66 / $29,724.66 / $36,094.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,375.64 / $29,372.27 / $42,475.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,267.60 / $29,492.00 / $40,273.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,697.44 / $24,148.81 / $40,578.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,341.85 / $21,927.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,389.94 / $22,738.16 / $41,244.37