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Pennsylvania rates for MS-DRG 102

Headaches with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,108.29 / $18,325.59 / $25,025.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,064.00 / $18,454.00 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,547.00 / $16,661.00 / $24,937.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,470.18 / $18,470.18 / $22,428.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,942.78 / $21,489.77 / $27,867.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,090.29 / $17,601.50 / $24,765.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,230.61 / $15,154.57 / $24,442.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,260.51 / $12,886.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $14,128.94 / $25,628.26