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Pennsylvania rates for MS-DRG 508

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,656.90 / $24,758.90 / $34,794.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,185.00 / $24,651.65 / $37,897.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,857.00 / $23,215.75 / $33,692.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,954.28 / $24,954.28 / $30,301.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,282.80 / $23,780.60 / $33,810.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,338.71 / $20,444.40 / $31,573.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,241.29 / $14,344.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,043.47 / $19,089.00 / $34,625.24