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Pennsylvania rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $346,736.85 / $501,187.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $331,131.12 / $549,540.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173,780.08 / $316,227.77 / $446,683.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371,535.23 / $371,535.23 / $457,088.19
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181,970.09 / $338,844.16 / $426,579.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $407,380.28 / $660,693.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190,546.07 / $323,593.66 / $478,630.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147,910.84 / $169,824.37 / $245,470.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $257,039.58 / $446,683.59