go back

Pennsylvania rates for MS-DRG 395

Other Digestive System Diagnoses Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,940.30 / $10,610.50 / $14,911.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,246.00 / $12,276.00 / $18,368.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,680.05 / $10,124.40 / $15,628.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.22 / $10,694.22 / $12,985.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,400.62 / $12,467.22 / $17,238.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,852.68 / $10,610.50 / $14,489.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,344.52 / $9,494.87 / $14,599.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,250.66 / $7,073.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,924.50 / $8,180.65 / $14,838.74