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Pennsylvania rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,660.10 / $20,202.50 / $27,588.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,769.00 / $18,547.95 / $28,982.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,175.99 / $18,943.28 / $27,797.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,361.86 / $20,361.86 / $24,725.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,273.90 / $36,273.90 / $45,980.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,143.50 / $19,771.20 / $27,301.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,438.57 / $16,706.66 / $27,797.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,892.75 / $15,259.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,666.43 / $15,576.00 / $28,253.04