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Pennsylvania rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,554.00 / $13,672.70 / $20,175.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,241.00 / $12,947.00 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,886.93 / $12,820.48 / $18,606.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,780.55 / $13,780.55 / $16,733.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,256.29 / $14,122.54 / $21,239.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,541.75 / $13,380.80 / $18,671.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,387.86 / $11,306.78 / $17,922.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,878.07 / $9,449.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,615.16 / $17,583.21