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Pennsylvania rates for MS-DRG 022

Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,981.90 / $52,382.60 / $78,018.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $84,722.17 / $123,739.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $46,485.36 / $70,690.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,357.20 / $52,357.20 / $63,576.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,366.00 / $78,366.00 / $78,366.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,653.80 / $51,947.30 / $75,704.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,888.15 / $42,535.85 / $70,145.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $27,004.63 / $39,238.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,778.09 / $40,051.12 / $72,648.07