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Pennsylvania rates for MS-DRG 621

O.R. procedures for obesity w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $25,703.96 / $36,307.81
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $30,902.95 / $30,902.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $28,840.32 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $24,547.09 / $39,810.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $32,359.37
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $25,703.96 / $31,622.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $26,302.68 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $25,118.86 / $35,481.34
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $23,988.33 / $26,915.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $13,489.63 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $18,620.87 / $35,481.34