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Pennsylvania rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,759.60 / $51,370.20 / $72,192.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $51,703.00 / $72,126.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,432.00 / $46,056.90 / $67,963.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,775.52 / $51,775.52 / $62,870.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,656.78 / $67,656.78 / $67,656.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,335.50 / $50,273.60 / $70,150.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,600.54 / $42,481.19 / $65,509.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $21,605.91 / $31,180.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,168.54 / $38,855.21 / $71,840.97