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Pennsylvania rates for MS-DRG 254

Other Vascular Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,067.40 / $29,129.00 / $41,631.19
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,096.48 / $37,096.48 / $37,096.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,238.00 / $30,405.21 / $43,147.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,593.44 / $26,116.16 / $39,639.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,358.85 / $29,358.85 / $35,650.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,141.37 / $31,667.10 / $47,740.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,627.30 / $27,978.00 / $39,778.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,672.30 / $24,052.95 / $37,146.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,670.32 / $19,442.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,286.69 / $22,458.33 / $40,736.79