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Pennsylvania rates for MS-DRG 541

Ecmo, Trach Mv 96+H Or Pdx Ex Fmn Maj Or

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,207.07 / $12,873.20 / $19,089.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $16,568.99 / $22,986.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,891.32 / $12,070.84 / $17,712.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,974.78 / $12,974.78 / $15,755.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,313.52 / $15,030.03 / $17,547.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.77 / $12,873.20 / $19,089.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,484.24 / $10,645.65 / $17,712.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,063.37 / $9,722.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,761.41 / $9,925.18 / $18,003.11