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Pennsylvania rates for MS-DRG 522

Hip replacement w principal diagnosis of hip fracture w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,097.40 / $34,622.30 / $48,656.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,428.00 / $39,631.94 / $54,586.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,534.11 / $33,036.12 / $47,114.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,895.46 / $34,895.46 / $42,373.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,209.22 / $37,129.98 / $49,545.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,574.30 / $33,254.19 / $47,279.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,439.25 / $30,981.95 / $44,438.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,354.15 / $23,431.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,849.42 / $30,486.41 / $48,419.09