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Pennsylvania rates for MS-DRG 088

Concussion w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,755.60 / $22,285.80 / $32,528.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,455.00 / $27,946.84 / $39,168.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,830.95 / $19,814.68 / $29,839.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,274.96 / $22,274.96 / $27,048.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,230.28 / $18,230.28 / $18,230.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,190.50 / $22,100.60 / $32,208.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,132.07 / $18,249.30 / $29,737.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,185.78 / $15,678.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,287.22 / $17,039.43 / $30,907.56