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Pennsylvania rates for MS-DRG 064

Miscellaneous Disorders of Nutrition, Metabolism, and Fluids and Electrolytes with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,135.20 / $32,877.80 / $44,897.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,656.54 / $21,656.54 / $46,716.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,735.00 / $32,835.75 / $48,559.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,560.59 / $29,477.24 / $42,391.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,137.26 / $33,137.26 / $40,238.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,304.82 / $34,142.54 / $46,989.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,103.00 / $32,469.00 / $44,431.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,384.80 / $26,921.26 / $41,927.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,462.95 / $22,107.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,353.16 / $25,348.66 / $45,979.50