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Pennsylvania rates for MS-DRG 500

Soft Tissue Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,540.20 / $51,741.30 / $71,314.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $54,325.12 / $80,840.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $46,301.02 / $66,796.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,149.57 / $52,149.57 / $63,324.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,123.82 / $53,920.19 / $89,388.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,489.50 / $50,002.00 / $70,657.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,173.50 / $42,367.18 / $66,713.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $24,279.59 / $35,216.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,719.48 / $39,892.30 / $72,359.99