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Pennsylvania rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,376.40 / $13,175.70 / $20,060.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $17,874.79 / $24,158.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,053.24 / $12,354.45 / $17,929.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,279.62 / $13,279.62 / $16,125.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,071.16 / $12,733.43 / $18,195.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,267.61 / $13,175.70 / $20,060.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,636.59 / $10,895.77 / $17,285.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,646.40 / $9,113.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.28 / $10,158.37 / $18,426.09