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Pennsylvania rates for MS-DRG 425

Other hepatobiliary or pancreas O.R. procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,732.20 / $24,528.40 / $33,495.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,567.00 / $26,905.87 / $38,533.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,994.10 / $22,999.60 / $33,378.67
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,721.94 / $24,721.94 / $30,019.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,094.20 / $31,094.20 / $31,094.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,529.70 / $24,198.00 / $33,495.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,223.83 / $20,284.06 / $32,585.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,148.30 / $17,179.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,977.90 / $18,911.28 / $34,302.86