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Pennsylvania rates for MS-DRG 002

Heart transplant or implant of heart assist system w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,712.85 / $186,208.71 / $275,422.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $275,422.87 / $436,515.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $199,526.23 / $239,883.29
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $181,970.09 / $229,086.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,329.30 / $177,827.94 / $263,026.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,624.71 / $104,712.85 / $177,827.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $138,038.43 / $239,883.29