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Pennsylvania rates for MS-DRG 094

OR Procedures with Diagnoses of Other Contact with Health Services with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,737.90 / $57,538.70 / $78,574.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $62,459.00 / $88,402.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,975.29 / $48,567.72 / $76,914.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,992.67 / $57,992.67 / $70,419.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,582.50 / $55,614.63 / $117,029.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,681.60 / $57,538.70 / $77,757.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,674.63 / $47,114.21 / $74,188.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $27,907.23 / $40,550.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,368.73 / $44,362.04 / $80,467.56