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Pennsylvania rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,437.50 / $20,735.40 / $28,316.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,054.45 / $16,054.45 / $16,054.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,283.00 / $21,068.12 / $31,130.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,984.75 / $19,200.79 / $28,217.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,899.05 / $20,899.05 / $25,377.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,149.90 / $20,593.59 / $33,463.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,417.20 / $20,292.80 / $28,021.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,444.45 / $17,147.41 / $27,077.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,198.68 / $14,281.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,898.86 / $15,986.92 / $28,998.41