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Pennsylvania rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,520.70 / $31,295.30 / $42,736.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,019.33 / $29,019.33 / $29,019.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,594.00 / $32,393.00 / $45,788.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,753.08 / $28,058.34 / $42,587.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,542.19 / $31,542.19 / $38,301.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,456.52 / $34,488.91 / $43,337.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,262.30 / $31,295.30 / $42,292.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,763.44 / $25,841.70 / $39,909.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,527.01 / $20,716.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,902.94 / $27,556.82 / $56,463.00