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Pennsylvania rates for MS-DRG 123

Neurological Eye Disorders

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,309.59 / $13,056.30 / $17,829.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,462.00 / $13,145.82 / $20,779.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.00 / $12,242.54 / $17,767.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,159.33 / $13,159.33 / $15,979.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,757.64 / $15,712.75 / $23,795.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,201.77 / $12,777.60 / $17,644.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,576.47 / $10,797.07 / $16,931.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,510.23 / $8,927.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,829.13 / $9,986.49 / $18,259.18