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Pennsylvania rates for MS-DRG 086

Traumatic Stupor And Coma <1 Hour With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,292.30 / $21,297.80 / $29,084.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,464.00 / $21,588.84 / $31,235.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,401.23 / $19,094.98 / $28,982.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,465.89 / $21,465.89 / $26,065.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,416.26 / $22,044.15 / $27,240.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,747.70 / $21,244.00 / $28,781.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,727.73 / $17,586.45 / $27,648.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,406.37 / $14,577.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,058.86 / $16,420.53 / $29,784.93