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Pennsylvania rates for MS-DRG 023

Cranio w major dev impl/acute CNS PDX w MCC/chemo impl/epilep w stim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $95,499.26 / $134,896.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $102,329.30 / $154,881.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $87,096.36 / $120,226.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,000.00 / $123,026.88
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $93,325.43 / $117,489.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,096.36 / $112,201.85 / $162,181.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $89,125.09 / $128,824.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $46,773.51 / $81,283.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $69,183.10 / $120,226.44