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Pennsylvania rates for MS-DRG 035

Inguinal and Femoral Hernia Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,556.80 / $39,082.30 / $53,370.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,692.00 / $38,670.90 / $56,113.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,151.00 / $35,039.94 / $50,391.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,390.66 / $39,390.66 / $47,831.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,880.46 / $47,244.80 / $72,780.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,557.50 / $38,248.00 / $52,815.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,564.00 / $32,271.75 / $49,839.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $17,607.58 / $25,281.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,118.22 / $30,132.25 / $54,656.39