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Pennsylvania rates for MS-DRG 188

Pleural effusion w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.53 / $11,817.00 / $16,738.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $14,247.00 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,276.93 / $10,994.68 / $16,133.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,818.02 / $11,818.02 / $14,350.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,821.07 / $14,498.98 / $22,496.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,467.71 / $11,725.50 / $16,478.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,906.14 / $9,726.00 / $15,476.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,983.53 / $8,159.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,336.91 / $9,040.31 / $16,398.06