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Pennsylvania rates for MS-DRG 041

Periph/cranial nerve & other nerv syst proc w CC or periph neurostim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,746.90 / $35,946.50 / $49,088.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,636.12 / $23,636.12 / $23,636.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,853.00 / $39,805.08 / $54,434.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,243.02 / $32,228.54 / $47,602.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,230.18 / $36,230.18 / $43,993.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,072.51 / $43,317.65 / $65,041.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,827.90 / $35,946.50 / $49,088.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,106.29 / $29,682.45 / $46,348.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $17,487.06 / $25,103.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,226.15 / $27,714.61 / $50,271.08