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Pennsylvania rates for MS-DRG 538

Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,592.91 / $11,776.20 / $16,081.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,351.00 / $12,212.48 / $19,587.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,238.52 / $11,042.20 / $16,203.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,869.10 / $11,869.10 / $14,412.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,197.21 / $14,197.21 / $16,385.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,495.67 / $11,524.80 / $16,081.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,868.71 / $9,738.45 / $15,183.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,531.78 / $7,463.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,033.68 / $9,079.37 / $16,468.93