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Pennsylvania rates for MS-DRG 259

Cardiac pacemaker device replacement without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,508.30 / $33,059.30 / $46,459.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,654.00 / $35,226.36 / $49,679.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,697.41 / $30,612.57 / $45,487.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,320.16 / $33,320.16 / $40,460.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,475.52 / $54,475.52 / $54,475.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,235.30 / $33,059.30 / $46,125.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,651.99 / $27,338.79 / $42,625.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,732.37 / $19,534.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $25,518.90 / $42,423.66