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Pennsylvania rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,739.50 / $52,102.60 / $74,465.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $54,846.59 / $80,377.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $46,624.35 / $67,179.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,513.74 / $52,513.74 / $63,766.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,974.10 / $65,106.32 / $78,111.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,952.30 / $50,990.40 / $71,150.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,342.31 / $42,663.03 / $66,443.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $23,722.39 / $34,368.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,822.27 / $39,852.18 / $72,865.28