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Pennsylvania rates for MS-DRG 084

Traumatic stupor & coma, coma >1 hr w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,018.93 / $15,626.40 / $21,339.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $15,763.81 / $24,003.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,365.16 / $14,652.41 / $21,264.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,749.67 / $15,749.67 / $19,124.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,073.45 / $16,935.38 / $22,303.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,619.40 / $15,402.00 / $21,117.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,871.01 / $12,922.42 / $20,154.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,694.22 / $10,625.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,352.48 / $12,047.86 / $21,853.41