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Pennsylvania rates for MS-DRG 303

Atherosclerosis Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,161.80 / $11,006.10 / $15,029.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,604.00 / $11,232.32 / $18,365.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,891.85 / $10,320.16 / $15,628.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,092.99 / $11,092.99 / $13,470.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,032.86 / $11,618.44 / $24,331.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,070.92 / $10,771.20 / $14,873.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,543.80 / $9,208.00 / $14,191.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,538.77 / $7,473.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,050.80 / $8,485.69 / $15,392.04