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Pennsylvania rates for MS-DRG 143

Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc

Facilitymedian $61,660 · 10th–90th $33,884$85,1140%10%10th90th$61,660$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $61,659.50 / $87,096.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $53,703.18 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $56,234.13 / $79,432.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $79,432.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $61,659.50 / $74,131.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $60,255.96 / $70,794.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $58,884.37 / $85,113.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $25,118.86 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $50,118.72 / $87,096.36