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Pennsylvania rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,130.80 / $27,948.60 / $38,166.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,812.00 / $29,770.00 / $42,164.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,961.54 / $25,057.85 / $38,032.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,169.14 / $28,169.14 / $34,205.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,067.62 / $43,030.05 / $58,260.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,416.30 / $27,638.00 / $37,818.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,077.73 / $23,078.25 / $37,207.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,390.96 / $20,514.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,950.88 / $21,548.25 / $39,086.01