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Pennsylvania rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $47,863.01 / $69,183.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $58,884.37 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $45,708.82 / $64,565.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $61,659.50
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $46,773.51 / $58,884.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $54,954.09 / $112,201.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $43,651.58 / $67,608.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $28,840.32 / $44,668.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $35,481.34 / $60,255.96