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Pennsylvania rates for MS-DRG 080

Splenic Procedures with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,566.90 / $29,591.70 / $40,410.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,894.00 / $26,754.00 / $46,695.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,905.35 / $26,530.98 / $40,268.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,825.18 / $29,825.18 / $36,216.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,063.00 / $35,361.73 / $56,743.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,322.60 / $27,685.80 / $39,990.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,825.21 / $24,435.00 / $40,068.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,453.23 / $22,093.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,271.70 / $22,815.05 / $41,383.83