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Pennsylvania rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,203.60 / $25,370.40 / $35,419.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,187.00 / $26,663.51 / $38,149.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,440.14 / $23,789.09 / $34,524.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,570.56 / $25,570.56 / $31,049.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,893.89 / $29,691.86 / $40,058.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,994.10 / $24,828.80 / $34,645.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,643.43 / $20,980.34 / $32,353.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,843.08 / $16,715.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $19,942.18 / $32,626.60