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Pennsylvania rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,049.90 / $25,095.70 / $35,268.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,498.00 / $27,754.23 / $38,890.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,294.64 / $23,531.55 / $34,150.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,293.73 / $25,293.73 / $30,713.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,196.03 / $27,319.16 / $37,777.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,842.60 / $25,095.70 / $34,305.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,506.55 / $20,753.20 / $32,359.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,068.31 / $17,060.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,139.29 / $19,348.68 / $35,096.24