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Pennsylvania rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,140.80 / $20,197.59 / $27,581.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,467.32 / $19,904.15 / $20,391.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,398.00 / $23,504.40 / $30,260.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,699.80 / $18,108.49 / $27,485.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,356.91 / $20,356.91 / $24,719.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,788.15 / $20,090.70 / $29,593.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,121.10 / $20,197.59 / $27,581.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,065.53 / $16,677.90 / $26,084.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,844.34 / $13,754.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,745.85 / $15,572.22 / $28,246.19