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Pennsylvania rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $22,387.21 / $31,622.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $21,877.62 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $20,892.96 / $33,113.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $28,840.32
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $22,908.68 / $28,183.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $38,018.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $20,892.96 / $30,199.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,772.37 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $16,218.10 / $28,183.83