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Pennsylvania rates for MS-DRG 135

Sinus & mastoid procedures w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,862.00 / $35,477.30 / $48,447.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,346.00 / $37,319.17 / $53,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,869.95 / $31,807.86 / $48,600.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,757.26 / $35,757.26 / $43,419.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,045.46 / $40,432.80 / $50,075.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,569.09 / $34,720.00 / $48,447.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,768.00 / $29,295.00 / $48,600.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $18,634.28 / $26,795.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,092.67 / $27,352.85 / $49,614.88