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Pennsylvania rates for MS-DRG 250

Percutaneous cardiovascular procedures without coronary artery stent with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,681.80 / $35,980.69 / $54,339.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $50,397.28 / $68,498.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,101.24 / $34,047.00 / $48,749.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,963.24 / $35,963.24 / $43,669.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,967.72 / $45,632.00 / $64,374.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,646.90 / $35,980.69 / $60,990.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,972.89 / $31,929.98 / $48,749.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $17,894.57 / $25,704.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,150.81 / $31,281.77 / $47,892.78