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Pennsylvania rates for MS-DRG 291

Heart failure & shock w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,577.30 / $21,164.70 / $31,964.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,069.25 / $13,069.25 / $17,007.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,326.00 / $25,985.64 / $36,407.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,235.82 / $19,435.45 / $28,561.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,154.46 / $21,154.46 / $25,687.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,408.89 / $18,346.86 / $29,040.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,556.80 / $20,988.80 / $31,263.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,572.09 / $17,356.98 / $27,505.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,353.23 / $14,503.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,970.95 / $16,182.30 / $29,352.80