go back

Pennsylvania rates for MS-DRG 278

Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,703.00 / $91,001.80 / $124,271.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,715.38 / $84,266.70 / $120,396.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,719.84 / $91,719.84 / $111,374.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,644.40 / $87,644.40 / $87,644.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,196.00 / $85,140.60 / $122,980.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,837.66 / $75,255.02 / $116,049.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,437.53 / $69,605.33 / $127,265.60