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Pennsylvania rates for MS-DRG 089

Concussion With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,366.40 / $17,961.00 / $24,527.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,987.00 / $17,951.00 / $28,060.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,151.00 / $16,631.71 / $24,441.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,102.73 / $18,102.73 / $21,981.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,669.43 / $18,206.73 / $21,720.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,907.17 / $17,577.59 / $24,272.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,950.94 / $14,853.07 / $22,904.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,602.82 / $11,915.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $13,847.85 / $25,118.39