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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
$50,118.72 / $89,125.09 / $125,892.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $87,096.36 / $134,896.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $117,489.76
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $89,125.09 / $109,647.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $83,176.38 / $123,026.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $48,977.88 / $85,113.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $64,565.42 / $114,815.36