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Pennsylvania rates for MS-DRG 392

Esophagitis, gastroent & misc digest disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,030.43 / $12,745.70 / $18,216.09
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,387.53 / $8,263.54 / $16,716.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $13,326.54 / $20,754.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,752.12 / $12,161.76 / $17,344.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,846.25 / $12,846.25 / $15,599.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,287.25 / $11,105.69 / $16,032.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,017.96 / $12,473.60 / $17,405.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,420.01 / $11,405.55 / $16,448.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,330.67 / $8,672.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.24 / $9,826.86 / $17,824.77