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Pennsylvania rates for MS-DRG 164

Major Chest Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,102.20 / $41,264.90 / $57,214.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,496.24 / $33,496.24 / $33,496.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $45,952.49 / $64,856.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,860.36 / $36,996.79 / $53,205.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,590.47 / $41,590.47 / $50,502.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,073.76 / $44,296.61 / $64,818.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,761.40 / $41,264.90 / $56,350.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,564.52 / $33,788.79 / $52,622.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $19,431.99 / $27,972.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,739.12 / $36,335.50 / $68,271.67