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Pennsylvania rates for MS-DRG 520

Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,472.00 / $24,423.80 / $33,352.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,618.04 / $23,618.04 / $23,618.04
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,064.00 / $22,074.85 / $31,934.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.27 / $23,304.84 / $33,236.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,616.48 / $24,616.48 / $29,891.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,427.35 / $22,606.60 / $29,905.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,448.10 / $23,458.70 / $33,352.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,410.77 / $20,197.53 / $31,146.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,344.29 / $15,928.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,948.13 / $20,569.50 / $34,156.53