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Pennsylvania rates for MS-DRG 307

Cardiac congenital and valvular disorders without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,616.95 / $14,929.90 / $20,388.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $14,413.00 / $23,001.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,992.33 / $13,999.36 / $20,316.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,047.71 / $15,047.71 / $18,272.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,978.39 / $19,933.00 / $28,398.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,235.24 / $14,611.20 / $20,176.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,520.20 / $12,346.46 / $19,528.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,455.18 / $10,295.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $11,510.89 / $20,879.40