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Pennsylvania rates for MS-DRG 405

Pancreas, liver & shunt procedures w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,071.50 / $89,437.20 / $122,134.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $100,384.89 / $138,107.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,784.99 / $75,492.89 / $115,318.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90,142.90 / $90,142.90 / $109,459.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,365.96 / $111,882.46 / $133,602.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,333.00 / $89,437.20 / $122,134.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,784.99 / $73,233.58 / $114,437.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $41,364.05 / $60,333.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,443.30 / $68,955.64 / $125,077.51