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Pennsylvania rates for MS-DRG 013

Sinus and Mastoid Procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,377.10 / $47,114.50 / $64,339.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,586.00 / $39,081.60 / $61,293.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $42,241.42 / $60,748.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,486.30 / $47,486.30 / $57,661.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,373.87 / $47,720.07 / $74,004.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,988.10 / $45,252.90 / $64,339.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,731.62 / $38,904.30 / $60,082.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $20,433.83 / $29,451.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,403.25 / $36,325.08 / $65,889.48