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Pennsylvania rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,809.60 / $22,880.40 / $31,245.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,691.00 / $25,303.68 / $34,431.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,121.07 / $21,454.34 / $31,136.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,060.96 / $23,060.96 / $28,002.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,428.89 / $30,517.62 / $46,956.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,620.70 / $22,392.00 / $31,245.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,402.55 / $18,921.24 / $30,974.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,599.32 / $16,330.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,509.07 / $17,640.70 / $31,998.17