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Pennsylvania rates for MS-DRG 577

Carotid Artery Stent Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,012.00 / $43,336.30 / $59,179.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $38,386.94 / $57,538.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,828.51 / $38,853.96 / $56,131.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,678.23 / $43,678.23 / $53,037.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,951.05 / $52,767.59 / $64,333.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,904.00 / $41,623.90 / $58,564.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,246.68 / $35,784.44 / $55,876.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $20,530.25 / $29,593.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,113.70 / $33,412.07 / $60,605.60