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Pennsylvania rates for MS-DRG 204

Respiratory Signs And Symptoms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,390.13 / $13,200.20 / $18,026.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,316.00 / $12,955.55 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,992.89 / $12,595.44 / $18,162.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,304.34 / $13,304.34 / $16,155.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,631.78 / $12,733.99 / $21,213.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,281.13 / $12,918.40 / $18,026.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,578.36 / $11,812.26 / $17,095.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,572.64 / $9,012.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,521.43 / $10,177.28 / $18,460.39