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Pennsylvania rates for MS-DRG 397

Appendix procedures w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,920.50 / $39,154.19 / $56,938.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,722.00 / $36,256.39 / $52,232.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,463.16 / $39,463.16 / $47,919.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,557.46 / $34,871.08 / $43,067.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,597.20 / $39,154.19 / $55,959.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,722.00 / $32,379.05 / $50,484.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,138.68 / $32,975.37 / $54,756.99