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Pennsylvania rates for MS-DRG 655

Major bladder procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,972.20 / $34,894.30 / $48,631.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,488.00 / $36,264.42 / $56,329.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,331.87 / $31,025.12 / $45,782.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,877.33 / $34,877.33 / $42,351.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,903.83 / $36,370.94 / $44,985.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,087.50 / $34,604.30 / $48,232.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,245.18 / $28,574.10 / $44,128.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,121.54 / $23,087.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,844.31 / $26,468.08 / $48,393.94