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Pennsylvania rates for MS-DRG 521

Hip replacement with principal diagnosis of hip fracture with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,883.50 / $46,924.90 / $68,385.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $55,460.45 / $76,387.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,119.99 / $43,451.96 / $63,856.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,295.16 / $47,295.16 / $57,429.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,333.50 / $47,400.33 / $111,851.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,174.50 / $45,070.80 / $67,065.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,636.10 / $38,805.10 / $61,441.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $22,428.47 / $32,394.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,356.09 / $39,694.00 / $60,345.96