go back

Pennsylvania rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,009.40 / $58,961.00 / $80,516.50
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
$31,563.21 / $56,259.84 / $80,235.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,426.26 / $59,426.26 / $72,160.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,035.68 / $93,853.44 / $134,037.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,522.50 / $55,163.50 / $79,679.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,698.70 / $52,761.63 / $75,189.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,773.37 / $49,656.52 / $82,456.73