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Pennsylvania rates for MS-DRG 156

Stomach,Esoph & Duod Proc Age 0-17

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,521.22 / $11,298.80 / $15,429.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,021.96 / $11,476.00 / $18,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,048.51 / $10,781.16 / $16,240.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,387.95 / $11,387.95 / $13,828.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,730.99 / $13,274.47 / $22,912.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,232.34 / $11,108.00 / $15,269.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,691.21 / $10,110.79 / $15,546.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,538.77 / $7,473.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,179.08 / $8,711.32 / $15,801.31