go back

Pennsylvania rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,890.70 / $24,067.40 / $32,866.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,927.00 / $23,788.95 / $35,270.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,749.86 / $22,286.12 / $31,841.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,257.26 / $24,257.26 / $29,455.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,092.77 / $23,379.75 / $46,656.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.40 / $23,553.60 / $32,524.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,994.07 / $19,902.79 / $31,318.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,714.86 / $16,512.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.50 / $18,555.82 / $33,658.08