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Pennsylvania rates for MS-DRG 026

Cardiac Pacemaker Revision Except Device Replacement with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,458.50 / $50,832.30 / $69,416.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $53,313.11 / $74,832.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $45,564.00 / $65,541.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,233.40 / $51,233.40 / $62,211.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,320.99 / $56,278.07 / $77,749.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,038.80 / $50,832.30 / $69,416.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,332.49 / $41,622.86 / $64,475.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $23,477.96 / $33,992.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,460.89 / $44,564.16 / $72,789.48