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Pennsylvania rates for MS-DRG 358

Other digestive system O.R. procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,795.00 / $22,854.30 / $31,801.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,663.07 / $17,663.07 / $17,663.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,351.00 / $24,096.09 / $34,254.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,107.21 / $21,429.81 / $31,100.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,034.60 / $23,034.60 / $27,970.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.40 / $27,416.65 / $37,029.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,606.30 / $22,854.30 / $31,209.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,389.52 / $18,899.61 / $29,144.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,750.73 / $15,060.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,501.63 / $17,620.53 / $31,961.59