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Pennsylvania rates for MS-DRG 201

Pneumothorax Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,545.31 / $11,691.20 / $15,965.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $13,239.09 / $19,824.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,258.56 / $11,155.56 / $16,661.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,783.42 / $11,783.42 / $14,308.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,727.53 / $10,655.20 / $18,413.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,448.77 / $11,691.20 / $15,965.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.85 / $10,461.91 / $15,628.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,572.66 / $7,523.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,324.21 / $9,013.84 / $16,350.05