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Pennsylvania rates for MS-DRG 507

Major Shoulder Or Elbow Joint Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,290.10 / $29,532.80 / $42,133.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,354.00 / $32,785.51 / $52,018.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,809.61 / $26,478.21 / $40,634.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,765.86 / $29,765.86 / $36,144.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,283.26 / $44,283.26 / $96,183.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,843.90 / $29,532.80 / $41,503.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,875.70 / $24,182.28 / $40,634.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,081.70 / $21,540.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,401.57 / $22,769.67 / $41,301.53