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Pennsylvania rates for MS-DRG 373

Major gastrointestinal disorders & peritoneal infections w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.75 / $11,991.90 / $17,018.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,612.53 / $7,612.53 / $7,612.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $15,043.26 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.20 / $11,151.04 / $16,362.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,986.10 / $11,986.10 / $14,554.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,710.96 / $11,765.63 / $18,620.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,559.69 / $11,892.30 / $16,996.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,990.14 / $9,834.45 / $15,333.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,917.41 / $8,061.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.14 / $9,293.26 / $15,293.59