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Pennsylvania rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,659.50 / $22,950.70 / $32,253.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,706.00 / $28,272.00 / $38,524.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,286.06 / $20,576.90 / $30,364.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,131.82 / $23,131.82 / $28,088.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,237.50 / $28,862.09 / $44,591.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,637.00 / $22,950.70 / $32,237.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,560.29 / $18,951.30 / $29,613.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,143.55 / $15,612.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.07 / $17,694.90 / $32,096.48