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Pennsylvania rates for MS-DRG 145

Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,004.70 / $19,656.40 / $26,842.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,318.21 / $24,318.21 / $24,318.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,215.00 / $20,946.00 / $30,259.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,522.53 / $18,755.88 / $26,748.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,811.50 / $19,811.50 / $24,056.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,145.16 / $24,920.97 / $33,258.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,842.30 / $19,656.40 / $26,563.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,900.94 / $17,589.65 / $25,066.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,449.64 / $13,167.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,591.90 / $16,554.47 / $27,489.39