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Pennsylvania rates for MS-DRG 221

Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,452.50 / $82,402.20 / $116,393.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $79,364.71 / $115,567.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,111.83 / $77,266.27 / $113,675.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,052.42 / $83,052.42 / $100,849.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,653.28 / $76,786.21 / $114,350.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,371.90 / $82,402.20 / $115,804.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,506.05 / $68,143.50 / $106,247.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $35,066.00 / $51,041.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,441.97 / $72,241.19 / $115,239.13