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Pennsylvania rates for MS-DRG 295

Deep Vein Thrombophlebitis without CC/MCC

Insurance Carrier
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,525.82 / $24,525.82 / $24,525.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,402.05 / $8,778.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,649.55 / $4,649.55 / $4,649.55