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Pennsylvania rates for MS-DRG 002

Intracranial Vascular Procedures with Principal Diagnosis of Hemorrhage with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103,720.00 / $185,264.00 / $273,380.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $262,004.00 / $432,553.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186,725.40 / $186,725.40 / $226,737.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,190.00 / $185,264.00 / $264,779.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $83,676.00 / $122,478.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,704.20 / $142,837.34 / $259,090.28