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Pennsylvania rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,199.70 / $28,068.00 / $38,329.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,084.00 / $28,103.81 / $41,654.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,869.20 / $25,990.64 / $36,190.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,289.43 / $28,289.43 / $34,351.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,799.02 / $32,856.44 / $50,512.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,482.10 / $27,468.80 / $37,931.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,137.85 / $23,211.14 / $35,793.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,833.81 / $18,198.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,967.12 / $21,640.26 / $39,252.92