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Pennsylvania rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,685.84 / $10,156.00 / $13,868.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,294.83 / $10,294.83 / $10,294.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,318.00 / $10,665.21 / $16,953.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,436.74 / $9,690.71 / $15,182.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,236.12 / $10,236.12 / $12,429.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,873.53 / $9,662.79 / $14,492.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,601.98 / $9,939.20 / $13,868.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,115.58 / $9,088.16 / $13,973.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,177.92 / $6,964.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $7,830.23 / $14,203.12