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Pennsylvania rates for MS-DRG 585

Breast biopsy, local excision & other breast procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,396.59 / $31,538.90 / $43,069.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,181.00 / $25,814.53 / $39,126.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,886.14 / $28,276.75 / $42,918.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,787.71 / $31,787.71 / $38,599.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,975.04 / $50,665.94 / $95,324.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,365.80 / $29,507.50 / $42,621.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.93 / $26,042.85 / $41,845.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,432.30 / $22,062.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,815.99 / $25,404.00 / $44,106.94