go back

Pennsylvania rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,792.70 / $52,636.50 / $79,494.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $65,901.12 / $92,865.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $46,800.06 / $71,033.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,610.96 / $52,610.96 / $63,884.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,496.36 / $80,568.75 / $101,211.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,004.00 / $52,199.10 / $79,096.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,387.37 / $43,166.66 / $68,372.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $25,954.27 / $37,700.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,849.71 / $39,925.96 / $70,062.80