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Pennsylvania rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,550.60 / $28,192.20 / $38,499.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,962.00 / $20,946.00 / $34,649.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,200.43 / $25,432.00 / $38,364.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,414.66 / $28,414.66 / $34,503.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,257.80 / $40,171.26 / $58,540.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,124.70 / $26,352.30 / $38,098.90
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,920.08 / $26,954.77 / $30,661.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,171.38 / $23,313.89 / $35,952.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,871.93 / $18,255.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,880.51 / $21,736.06 / $39,426.68