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Pennsylvania rates for MS-DRG 640

Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,044.40 / $21,835.70 / $29,818.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,017.00 / $20,680.00 / $30,855.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,567.63 / $19,582.00 / $28,889.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,008.02 / $22,008.02 / $26,724.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,602.04 / $20,565.84 / $33,987.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,023.10 / $20,972.90 / $29,508.70
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,203.24 / $21,261.12 / $23,748.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,998.67 / $18,030.59 / $27,994.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,537.30 / $14,761.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,211.88 / $16,835.24 / $30,537.16