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Pennsylvania rates for MS-DRG 513

Hand or wrist proc, except major thumb or joint proc w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,855.10 / $25,738.20 / $35,147.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,801.00 / $26,511.66 / $39,556.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,964.36 / $23,864.00 / $35,025.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,941.32 / $25,941.32 / $31,500.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,815.55 / $24,030.79 / $32,035.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,197.00 / $25,188.80 / $34,782.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,826.75 / $21,253.05 / $32,822.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,854.35 / $16,732.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,322.07 / $19,844.05 / $35,994.80