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Pennsylvania rates for MS-DRG 510

Shoulder, elbow or forearm proc, exc major joint proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,238.90 / $49,382.20 / $67,435.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $41,772.40 / $63,856.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,009.59 / $44,274.49 / $63,672.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,771.80 / $49,771.80 / $60,437.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,696.08 / $75,776.17 / $85,830.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,190.50 / $47,333.00 / $66,734.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,071.30 / $40,435.43 / $62,974.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $22,002.13 / $31,765.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.69 / $38,073.40 / $69,060.71