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Pennsylvania rates for MS-DRG 253

Other Vascular Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,407.10 / $42,435.50 / $57,949.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,975.32 / $33,975.32 / $33,975.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $43,786.61 / $63,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,480.49 / $38,046.30 / $54,715.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,770.30 / $42,770.30 / $51,935.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,135.04 / $45,283.90 / $62,769.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,365.60 / $40,758.69 / $57,949.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,147.88 / $35,040.60 / $54,115.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $19,703.91 / $28,374.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,072.14 / $32,717.54 / $59,345.80