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Pennsylvania rates for MS-DRG 398

Appendix procedures w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,854.00 / $24,745.80 / $33,916.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,155.50 / $31,155.50 / $31,155.50
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
$13,247.03 / $23,158.08 / $33,674.57
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,941.10 / $24,941.10 / $30,285.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,644.16 / $27,804.63 / $50,664.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,649.60 / $24,745.80 / $33,792.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,464.50 / $22,143.97 / $31,898.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,039.75 / $20,840.75 / $34,606.94