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Pennsylvania rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,302.60 / $28,482.90 / $39,695.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,756.00 / $32,071.00 / $46,343.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,120.83 / $25,432.00 / $38,437.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,469.04 / $28,469.04 / $34,569.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,180.25 / $34,743.69 / $46,485.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,580.40 / $28,246.20 / $39,685.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,227.61 / $23,358.50 / $37,050.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,731.62 / $19,533.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.53 / $21,777.66 / $39,502.12