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Pennsylvania rates for MS-DRG 552

Medical Back Problems Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,669.00 / $15,716.30 / $22,086.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,456.86 / $10,456.86 / $10,456.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $15,421.00 / $24,300.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,916.31 / $14,736.73 / $21,387.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,840.30 / $15,840.30 / $19,234.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,668.60 / $14,826.00 / $20,016.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,431.56 / $15,095.30 / $21,239.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,627.00 / $12,996.78 / $20,316.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,751.26 / $10,712.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,244.29 / $12,117.19 / $21,979.16