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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
$191,409.00 / $347,011.00 / $473,874.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,651.89 / $300,187.76 / $492,818.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158,658.37 / $292,907.76 / $451,778.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349,748.85 / $349,748.85 / $424,695.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188,194.25 / $395,341.32 / $679,123.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191,069.00 / $333,299.00 / $468,950.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162,123.17 / $283,696.02 / $442,524.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $162,406.07 / $238,185.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $265,421.13 / $485,292.97