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Pennsylvania rates for MS-DRG 542

Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,930.30 / $28,880.50 / $41,356.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,368.00 / $34,058.96 / $48,555.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,299.66 / $25,893.36 / $39,301.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,108.39 / $29,108.39 / $35,345.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,206.50 / $33,326.26 / $77,462.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,902.00 / $28,880.50 / $41,276.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,547.13 / $23,847.75 / $37,594.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,534.49 / $20,727.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,215.99 / $22,266.73 / $40,389.26