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Pennsylvania rates for MS-DRG 264

Other Circulatory System O.R. Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,576.50 / $54,615.50 / $74,582.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,024.36 / $45,024.36 / $45,024.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $52,976.00 / $79,041.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,554.03 / $48,559.00 / $73,676.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,046.41 / $55,046.41 / $66,842.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,186.05 / $48,674.98 / $72,716.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,125.50 / $53,449.60 / $73,807.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,217.84 / $45,164.91 / $70,450.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,733.08 / $38,844.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,537.13 / $42,108.26 / $76,379.48