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Pennsylvania rates for MS-DRG 151

Epistaxis without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,718.30 / $12,000.20 / $16,387.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,108.00 / $12,303.75 / $20,010.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,357.17 / $11,450.40 / $16,511.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,094.85 / $12,094.85 / $14,686.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.75 / $11,977.29 / $15,148.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.21 / $11,744.00 / $16,387.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,010.00 / $10,738.42 / $15,978.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,165.10 / $8,424.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,165.85 / $9,252.07 / $16,782.18