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Pennsylvania rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,756.74 / $12,068.80 / $16,481.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,049.00 / $12,104.85 / $19,293.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,079.08 / $11,316.61 / $16,605.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,164.06 / $12,164.06 / $14,770.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,308.58 / $10,036.24 / $14,278.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,657.09 / $11,811.20 / $16,309.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,951.00 / $9,980.45 / $15,561.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,815.23 / $7,910.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,152.47 / $9,305.01 / $16,878.20