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Pennsylvania rates for MS-DRG 516

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,740.30 / $33,974.90 / $47,746.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,874.00 / $34,189.78 / $50,953.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,998.41 / $30,460.79 / $45,564.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,242.93 / $34,242.93 / $41,580.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,998.83 / $40,349.19 / $55,873.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,227.00 / $33,249.60 / $46,395.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,931.50 / $27,819.52 / $43,326.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,631.15 / $22,357.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,665.24 / $26,194.45 / $47,513.68