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Pennsylvania rates for MS-DRG 087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,631.11 / $14,954.40 / $20,421.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $15,036.28 / $21,625.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,922.22 / $14,022.35 / $20,350.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,072.43 / $15,072.43 / $18,302.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,960.04 / $14,832.53 / $18,862.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,248.76 / $14,635.20 / $20,209.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,532.55 / $12,366.74 / $19,070.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,132.68 / $9,825.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $11,529.79 / $20,913.70