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Pennsylvania rates for MS-DRG 017

Autologous bone marrow transplant w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,721.80 / $88,812.70 / $121,282.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $82,808.00 / $131,148.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,513.44 / $89,513.44 / $108,694.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,988.50 / $86,151.00 / $120,021.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $45,937.12 / $67,081.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,265.63 / $74,797.34 / $124,204.11