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Pennsylvania rates for MS-DRG 661

Kidney & ureter procedures for non-neoplasm w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,477.02 / $17,069.59 / $25,779.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,661.99 / $13,661.99 / $13,661.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,032.00 / $23,704.11 / $31,896.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,967.60 / $15,872.68 / $23,864.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,061.32 / $17,061.32 / $20,717.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,214.34 / $17,049.07 / $24,102.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,337.24 / $16,927.80 / $25,779.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,436.01 / $13,998.61 / $21,826.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,239.31 / $11,410.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $13,051.22 / $23,673.39