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Pennsylvania rates for MS-DRG 142

Major head & neck procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,611.80 / $26,099.50 / $35,641.19
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,038.70 / $24,038.70 / $24,038.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,543.00 / $27,444.12 / $40,115.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,971.69 / $24,424.92 / $35,516.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,305.48 / $26,305.48 / $31,942.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,401.37 / $33,155.26 / $61,675.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,396.30 / $26,091.00 / $35,270.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.35 / $23,355.33 / $33,283.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,347.15 / $17,475.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,424.86 / $21,980.83 / $36,500.08