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Pennsylvania rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,648.20 / $30,833.80 / $42,972.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,889.95 / $24,889.95 / $24,889.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,456.00 / $36,830.04 / $49,761.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,198.67 / $27,414.86 / $41,610.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,818.80 / $30,818.80 / $37,422.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,246.46 / $26,958.57 / $38,528.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,866.40 / $30,577.50 / $42,609.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,238.44 / $25,037.71 / $40,718.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,037.59 / $21,475.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,698.77 / $23,575.13 / $42,762.54