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Pennsylvania rates for MS-DRG 101

Seizures w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,261.50 / $14,756.60 / $20,151.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,011.80 / $12,011.80 / $13,207.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $14,602.90 / $22,196.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,588.00 / $13,836.86 / $20,081.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,873.04 / $14,873.04 / $18,060.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,982.31 / $13,025.08 / $19,158.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.65 / $14,441.60 / $19,942.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,367.00 / $12,203.15 / $19,429.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,417.36 / $10,243.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $11,377.27 / $20,637.05