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Pennsylvania rates for MS-DRG 039

Gastrointestinal Obstruction without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,092.00 / $19,218.30 / $26,244.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,533.00 / $19,128.00 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,967.00 / $18,020.41 / $26,152.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,369.89 / $19,369.89 / $23,520.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,082.98 / $23,680.15 / $34,361.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,600.70 / $18,808.00 / $25,971.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,677.00 / $15,892.76 / $24,508.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,102.03 / $12,650.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,467.25 / $16,848.43 / $28,606.97