go back

Pennsylvania rates for MS-DRG 621

O.R. Procedures For Obesity Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.30 / $25,463.00 / $35,245.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,287.00 / $27,131.00 / $38,485.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,201.52 / $23,531.04 / $36,865.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,855.42 / $24,855.42 / $30,181.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,288.93 / $27,688.18 / $30,845.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,602.80 / $25,519.10 / $33,951.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,421.67 / $20,393.57 / $33,931.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,545.78 / $16,246.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $19,813.81 / $32,605.57