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Pennsylvania rates for MS-DRG 150

Epistaxis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,187.20 / $21,768.70 / $29,727.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,177.00 / $23,314.77 / $32,275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,532.12 / $19,517.13 / $29,623.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,940.46 / $21,940.46 / $26,641.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,478.05 / $22,478.05 / $22,478.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,007.50 / $21,563.00 / $29,727.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,848.52 / $17,975.25 / $29,136.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,965.74 / $15,361.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,192.81 / $16,783.56 / $30,443.42