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Pennsylvania rates for MS-DRG 100

Seizures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,466.09 / $31,664.70 / $43,241.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,259.00 / $28,670.67 / $42,758.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,628.00 / $28,389.61 / $41,850.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,914.59 / $31,914.59 / $38,753.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,943.20 / $30,994.50 / $46,623.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,987.70 / $30,413.60 / $42,791.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,012.00 / $25,927.94 / $40,380.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,433.80 / $22,064.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,851.18 / $24,219.68 / $44,283.00