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Pennsylvania rates for MS-DRG 335

Peritoneal Adhesiolysis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,684.40 / $58,869.90 / $88,908.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $72,733.46 / $105,630.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,384.66 / $49,278.42 / $76,381.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,841.29 / $58,841.29 / $71,450.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,726.15 / $58,618.97 / $97,808.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,202.40 / $58,869.90 / $88,798.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,094.23 / $47,803.64 / $75,274.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $27,719.83 / $40,277.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.25 / $45,011.19 / $81,645.06