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Pennsylvania rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,484.80 / $21,631.40 / $29,539.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,207.00 / $21,482.00 / $31,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,895.73 / $19,394.00 / $29,436.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,802.04 / $21,802.04 / $26,473.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,570.13 / $27,080.38 / $44,946.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,931.70 / $21,169.60 / $29,232.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,602.00 / $17,861.84 / $27,585.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,344.50 / $14,491.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $16,794.11 / $27,818.18