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Pennsylvania rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $30,199.52 / $42,657.95
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $19,054.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $33,113.11 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $27,542.29 / $38,904.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $38,904.51
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $30,199.52 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $30,199.52 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $28,183.83 / $41,686.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,982.44 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $21,877.62 / $38,018.94