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Pennsylvania rates for MS-DRG 663

Minor Bladder Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,914.40 / $24,853.80 / $33,940.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,809.00 / $28,310.31 / $38,538.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,166.45 / $23,304.67 / $33,821.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,049.86 / $25,049.86 / $30,417.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,076.52 / $24,790.76 / $35,833.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,709.20 / $24,853.80 / $33,940.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,385.97 / $20,553.09 / $32,197.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,010.75 / $16,975.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.45 / $19,162.12 / $34,757.85