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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,059.60 / $19,754.50 / $26,976.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,079.00 / $23,058.62 / $34,166.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,465.09 / $18,523.24 / $27,180.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,910.37 / $19,910.37 / $24,176.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,915.32 / $26,995.38 / $37,311.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,896.40 / $19,754.50 / $26,976.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,900.00 / $16,312.05 / $27,180.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,655.52 / $14,926.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,619.80 / $15,230.62 / $27,626.57