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Pennsylvania rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.96 / $12,552.80 / $17,141.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,351.00 / $13,203.05 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,649.92 / $11,770.37 / $17,271.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,651.81 / $12,651.81 / $15,362.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,534.44 / $14,430.93 / $21,219.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,924.02 / $12,284.80 / $16,963.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,322.83 / $10,380.66 / $17,271.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,692.60 / $9,177.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,543.85 / $9,678.12 / $17,554.98