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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
$54,071.10 / $93,684.70 / $127,935.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $93,738.56 / $138,332.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,549.47 / $79,078.14 / $120,794.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,423.88 / $94,423.88 / $114,657.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,539.99 / $111,242.46 / $161,592.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,675.80 / $91,684.80 / $126,605.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,564.00 / $76,591.19 / $119,471.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $43,445.32 / $63,404.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,651.63 / $72,230.42 / $131,017.58