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Pennsylvania rates for MS-DRG 564

Other musculoskeletal sys & connective tissue diagnoses w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,920.20 / $25,236.30 / $34,462.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,235.00 / $26,410.54 / $38,114.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,509.59 / $23,368.56 / $33,256.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,435.44 / $25,435.44 / $30,885.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,394.98 / $27,142.47 / $118,790.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,895.50 / $24,833.00 / $34,462.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,711.55 / $20,869.47 / $33,078.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,323.98 / $17,440.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,179.28 / $19,457.08 / $35,292.87