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Pennsylvania rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,767.71 / $13,458.50 / $18,378.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,883.32 / $13,883.32 / $13,883.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $13,391.00 / $22,811.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,779.05 / $12,619.66 / $18,314.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,564.69 / $13,564.69 / $16,471.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,093.84 / $19,365.64 / $28,115.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,423.62 / $13,171.20 / $18,187.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,707.10 / $11,129.66 / $18,071.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,930.80 / $9,527.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,953.95 / $10,376.44 / $18,821.64