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Pennsylvania rates for MS-DRG 664

Minor bladder procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,582.28 / $17,115.80 / $25,256.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,982.00 / $21,315.45 / $30,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,162.46 / $16,331.64 / $24,602.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,250.82 / $17,250.82 / $20,947.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,440.94 / $17,115.80 / $24,943.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,621.21 / $15,316.15 / $23,550.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,664.61 / $12,001.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $13,196.17 / $23,936.32