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Pennsylvania rates for MS-DRG 543

Pathological fractures & musculoskelet & conn tiss malig w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,270.50 / $16,947.59 / $24,696.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,235.17 / $11,235.17 / $11,235.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,030.00 / $20,211.80 / $28,327.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,903.51 / $15,628.00 / $22,870.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,939.38 / $16,939.38 / $20,569.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,210.17 / $19,902.48 / $33,327.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,254.06 / $16,806.80 / $23,973.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,471.49 / $16,483.58 / $18,278.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,375.71 / $13,898.56 / $22,363.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,512.14 / $11,790.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $12,957.94 / $23,504.19