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Pennsylvania rates for MS-DRG 154

Other ear, nose, mouth & throat diagnoses w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,753.20 / $25,561.70 / $34,906.69
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,762.01 / $33,762.01 / $33,762.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,177.00 / $25,658.00 / $37,535.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,683.75 / $23,669.83 / $34,282.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,763.35 / $25,763.35 / $31,284.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,732.70 / $30,991.75 / $42,390.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,099.60 / $25,016.00 / $34,544.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,875.42 / $21,138.52 / $34,282.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,750.08 / $18,074.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,271.84 / $19,707.91 / $35,747.86