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Pennsylvania rates for MS-DRG 512

Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,928.40 / $27,064.10 / $36,958.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,814.00 / $24,271.00 / $36,218.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,632.22 / $25,061.10 / $36,829.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,277.68 / $27,277.68 / $33,122.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,600.60 / $25,643.14 / $35,739.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,901.90 / $25,994.70 / $36,574.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,644.34 / $22,347.90 / $34,513.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,611.78 / $17,868.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,565.18 / $20,866.32 / $37,849.07