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Pennsylvania rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,740.00 / $32,940.00 / $44,982.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,422.00 / $20,136.00 / $30,041.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,415.75 / $26,972.13 / $44,825.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,199.87 / $33,199.87 / $40,314.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,611.37 / $27,043.06 / $44,858.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,137.20 / $30,790.20 / $44,515.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,060.63 / $26,057.41 / $42,006.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,270.96 / $12,901.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,207.64 / $25,396.55 / $46,066.39