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Pennsylvania rates for MS-DRG 409

Biliary tract proc except only cholecyst w or w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,928.80 / $35,596.69 / $48,871.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,552.00 / $41,904.47 / $56,326.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,857.59 / $31,914.86 / $47,095.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,877.55 / $35,877.55 / $43,565.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,077.11 / $39,301.36 / $57,932.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,634.90 / $35,596.69 / $48,610.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,739.75 / $29,393.55 / $45,394.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,264.51 / $23,299.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,126.62 / $27,444.87 / $49,781.79