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Pennsylvania rates for MS-DRG 040

Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,434.30 / $63,126.80 / $86,205.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $69,910.00 / $94,654.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,692.22 / $53,284.56 / $81,394.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,624.85 / $63,624.85 / $77,258.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,242.22 / $64,792.32 / $161,465.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,820.30 / $63,126.80 / $86,205.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,459.47 / $51,689.88 / $80,502.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $28,851.14 / $41,921.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,958.43 / $48,670.43 / $88,282.48