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Pennsylvania rates for MS-DRG 410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,532.20 / $25,957.30 / $36,479.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,913.00 / $29,448.62 / $40,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,751.07 / $24,036.19 / $35,323.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,162.12 / $26,162.12 / $31,768.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,497.83 / $46,272.33 / $47,975.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,317.90 / $25,957.30 / $35,647.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,935.93 / $21,465.70 / $33,101.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,187.92 / $17,238.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,384.39 / $20,012.96 / $36,301.17