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Pennsylvania rates for MS-DRG 582

Mastectomy for malignancy with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,374.09 / $31,498.00 / $43,013.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,211.00 / $24,346.00 / $36,855.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,865.55 / $28,240.10 / $42,863.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,746.51 / $31,746.51 / $38,549.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,006.51 / $52,595.20 / $64,313.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,980.00 / $29,469.30 / $42,566.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,533.00 / $26,009.10 / $40,167.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,683.78 / $19,462.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,804.56 / $24,284.79 / $44,049.78