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Pennsylvania rates for MS-DRG 163

Major Chest Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,416.90 / $73,273.00 / $106,783.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $87,514.45 / $125,503.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,233.06 / $61,848.84 / $96,941.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,851.10 / $73,851.10 / $89,676.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,538.01 / $69,795.87 / $115,867.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,345.19 / $73,273.00 / $104,722.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,233.06 / $59,903.74 / $93,441.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $35,191.04 / $51,225.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,844.84 / $64,237.64 / $102,471.88