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Pennsylvania rates for MS-DRG 558

Tendonitis, Myositis And Bursitis Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,054.88 / $14,602.90 / $19,941.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $15,289.49 / $23,304.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,817.29 / $13,933.92 / $19,871.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,718.15 / $14,718.15 / $17,872.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.75 / $11,547.86 / $17,326.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,040.59 / $14,291.20 / $19,941.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,355.50 / $13,067.52 / $18,622.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,980.52 / $9,600.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $11,258.79 / $20,422.12