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Pennsylvania rates for MS-DRG 504

Foot Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,637.80 / $30,559.60 / $41,731.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,558.00 / $29,127.00 / $42,145.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,392.86 / $27,398.73 / $41,585.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,800.68 / $30,800.68 / $37,400.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,201.69 / $30,900.49 / $39,129.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,856.40 / $29,907.20 / $41,298.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,640.00 / $25,022.98 / $38,970.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,717.42 / $19,512.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,693.65 / $23,561.27 / $42,737.39