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Pennsylvania rates for MS-DRG 012

Acute Major Eye Infections with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,589.00 / $68,927.39 / $94,126.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $60,109.78 / $93,012.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,512.48 / $58,180.80 / $88,873.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,471.25 / $69,471.25 / $84,357.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,214.23 / $91,725.68 / $112,637.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,019.90 / $66,203.89 / $93,148.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,350.24 / $56,439.59 / $87,899.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $31,383.29 / $45,607.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,608.62 / $53,142.68 / $96,394.62