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Pennsylvania rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,933.33 / $15,956.60 / $24,300.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,728.00 / $25,185.82 / $33,709.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,541.95 / $14,962.08 / $21,714.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,082.53 / $16,082.53 / $19,528.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,060.52 / $17,535.49 / $27,864.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,801.57 / $15,956.60 / $26,366.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,037.36 / $14,278.88 / $20,913.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,967.19 / $11,026.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $12,302.48 / $22,315.26