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Pennsylvania rates for MS-DRG 659

Kidney & ureter procedures for non-neoplasm w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,256.90 / $41,889.30 / $63,263.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $58,399.58 / $79,502.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,006.73 / $37,244.51 / $54,477.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,868.94 / $41,868.94 / $50,840.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,404.21 / $40,345.06 / $50,107.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,913.80 / $41,541.19 / $63,263.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,924.31 / $34,302.15 / $53,562.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $19,939.68 / $28,722.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,817.73 / $32,028.04 / $58,095.14