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Pennsylvania rates for MS-DRG 069

Transient ischemia w/o thrombolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,311.42 / $13,059.60 / $17,834.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $13,617.09 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,922.00 / $12,245.60 / $17,771.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,162.63 / $13,162.63 / $15,983.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,490.35 / $13,781.04 / $20,464.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,203.58 / $12,780.80 / $17,834.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,578.12 / $10,799.78 / $16,866.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,485.92 / $8,893.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,830.34 / $10,068.87 / $18,263.75