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Pennsylvania rates for MS-DRG 408

Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,635.90 / $58,294.00 / $83,200.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $72,962.00 / $97,165.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,234.91 / $49,205.28 / $75,162.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,753.96 / $58,753.96 / $71,344.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,883.13 / $91,860.69 / $108,402.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,154.60 / $58,294.00 / $82,758.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,234.91 / $47,732.69 / $74,339.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,780.51 / $38,912.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,583.61 / $44,944.39 / $81,523.88