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Pennsylvania rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,752.66 / $10,275.29 / $14,974.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,507.00 / $13,020.40 / $19,681.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,500.63 / $9,634.91 / $15,212.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,356.42 / $10,356.42 / $12,575.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,955.26 / $9,565.70 / $13,565.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,667.81 / $10,275.29 / $14,960.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.70 / $8,497.32 / $13,248.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,149.72 / $6,922.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.54 / $7,922.24 / $14,370.02