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Pennsylvania rates for MS-DRG 219

Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,279.50 / $125,533.00 / $182,943.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $141,679.00 / $192,167.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,200.48 / $116,241.78 / $170,826.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126,523.03 / $126,523.03 / $153,635.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,430.14 / $120,803.70 / $173,494.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,120.10 / $125,533.00 / $176,417.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,230.80 / $107,360.00 / $163,106.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $58,773.11 / $85,992.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,711.76 / $94,120.60 / $175,556.65