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Pennsylvania rates for MS-DRG 057

Degenerative nervous system disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,683.70 / $21,181.80 / $28,925.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,178.00 / $19,138.87 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,669.27 / $18,990.90 / $28,824.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,348.90 / $21,348.90 / $25,923.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,657.62 / $25,674.87 / $42,708.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,663.00 / $20,429.00 / $28,625.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,896.10 / $17,490.59 / $28,129.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,589.66 / $14,834.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,988.22 / $16,331.04 / $29,622.60