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Pennsylvania rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,648.09 / $14,983.90 / $20,461.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $16,517.00 / $24,621.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,021.21 / $14,297.40 / $20,616.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,102.09 / $15,102.09 / $18,338.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,517.06 / $15,501.75 / $21,175.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,265.00 / $14,983.90 / $20,461.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,547.38 / $13,408.40 / $19,680.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,513.94 / $10,376.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,132.39 / $11,552.48 / $20,954.86