go back

Pennsylvania rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,477.40 / $18,714.70 / $25,556.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,972.49 / $14,972.49 / $14,972.49
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
$10,018.41 / $17,513.91 / $25,467.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,862.37 / $18,862.37 / $22,904.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,945.11 / $19,806.81 / $29,338.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,322.90 / $18,714.70 / $25,291.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,426.60 / $16,746.96 / $23,865.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $15,761.37 / $26,172.42