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Pennsylvania rates for MS-DRG 025

Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,002.10 / $74,334.00 / $101,510.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $83,062.00 / $108,154.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,141.17 / $62,744.46 / $95,844.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,920.52 / $74,920.52 / $90,974.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,078.63 / $74,247.77 / $110,609.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,929.40 / $74,334.00 / $100,455.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,044.65 / $60,771.19 / $94,276.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $34,159.82 / $49,703.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,146.70 / $62,603.51 / $103,955.75