go back

Pennsylvania rates for MS-DRG 136

Sinus and mastoid procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,293.04 / $16,599.09 / $23,327.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,207.00 / $20,946.00 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,793.51 / $15,564.55 / $23,864.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,730.11 / $16,730.11 / $20,315.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,155.98 / $16,244.80 / $23,116.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,272.25 / $13,726.86 / $21,402.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,856.13 / $10,872.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $12,797.86 / $23,213.82