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Pennsylvania rates for MS-DRG 389

Full Term Neonate W Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,122.42 / $12,912.40 / $18,613.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $16,489.09 / $22,313.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,912.33 / $12,320.88 / $17,766.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,014.32 / $13,014.32 / $15,803.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,728.77 / $11,333.42 / $15,998.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,109.78 / $12,912.40 / $18,513.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,504.00 / $11,554.77 / $16,897.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,498.08 / $8,910.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,775.92 / $9,955.43 / $18,057.99