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Pennsylvania rates for MS-DRG 665

Prostatectomy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,147.00 / $51,028.50 / $69,683.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $52,941.77 / $78,757.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,430.26 / $45,663.16 / $69,440.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,431.13 / $51,431.13 / $62,452.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,097.00 / $49,012.20 / $69,683.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,864.00 / $42,136.20 / $69,211.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,265.33 / $38,160.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,311.92 / $39,342.73 / $71,363.12