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Pennsylvania rates for MS-DRG 497

Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc

Facilitymedian $19,953 · 10th–90th $10,965–$28,1840%10%20%10th90th$19,953$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $19,952.62 / $28,183.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $24,547.09 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $19,054.61 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $25,703.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $20,417.38 / $25,118.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $37,153.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $19,952.62 / $27,542.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,481.54 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,488.17 / $28,183.83