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Pennsylvania rates for MS-DRG 562

Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,444.40 / $23,294.10 / $31,810.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,856.00 / $24,967.02 / $37,108.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,469.85 / $20,884.72 / $30,850.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,477.85 / $23,477.85 / $28,508.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,557.38 / $30,395.08 / $44,070.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,848.80 / $23,294.10 / $31,730.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,733.23 / $19,234.80 / $30,034.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,559.87 / $16,268.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,626.74 / $17,959.59 / $32,576.63