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Pennsylvania rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,976.90 / $19,018.80 / $25,971.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,918.00 / $18,246.18 / $29,712.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,579.78 / $17,051.65 / $25,881.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,168.86 / $19,168.86 / $23,276.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,042.31 / $23,320.53 / $29,109.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,490.60 / $18,612.80 / $25,702.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,478.09 / $15,704.55 / $24,520.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,288.17 / $12,927.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.51 / $14,547.07 / $26,597.69