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Pennsylvania rates for MS-DRG 022

Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $52,480.75 / $79,432.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $89,125.09 / $131,825.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $47,863.01 / $70,794.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $67,608.30
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $52,480.75 / $66,069.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $52,480.75 / $75,857.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $28,840.32 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $38,904.51 / $66,069.34