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Pennsylvania rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,820.70 / $19,327.80 / $26,393.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,775.00 / $18,041.64 / $28,994.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,735.42 / $17,328.68 / $25,570.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,480.29 / $19,480.29 / $23,654.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,305.11 / $22,489.39 / $35,777.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,661.10 / $18,915.20 / $26,119.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,029.93 / $15,826.11 / $24,647.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,075.86 / $12,611.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,459.04 / $14,901.63 / $27,029.82