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Pennsylvania rates for MS-DRG 534

Fractures of femur w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,606.36 / $13,178.90 / $17,997.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $13,748.44 / $21,215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,054.99 / $12,357.51 / $17,934.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,282.92 / $13,282.92 / $16,129.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,966.99 / $18,756.07 / $34,368.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,269.41 / $12,914.00 / $17,810.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,638.23 / $10,931.00 / $17,159.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,596.96 / $9,046.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,874.49 / $10,160.89 / $18,430.66