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Pennsylvania rates for MS-DRG 081

Nontraumatic stupor & coma w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,197.43 / $14,642.20 / $19,995.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $13,581.75 / $21,930.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,375.27 / $13,729.55 / $19,925.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,757.70 / $14,757.70 / $17,920.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,657.26 / $14,654.12 / $18,791.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,076.52 / $14,329.60 / $19,995.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,077.00 / $12,108.51 / $19,073.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,289.35 / $10,056.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,015.35 / $11,289.04 / $20,477.00