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Pennsylvania rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,125.00 / $18,085.30 / $24,697.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,094.00 / $17,319.84 / $27,013.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,580.79 / $16,958.05 / $24,883.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,227.96 / $18,227.96 / $22,133.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,527.54 / $30,527.54 / $30,527.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,975.70 / $17,370.70 / $24,440.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,012.86 / $15,874.00 / $23,318.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,248.14 / $11,422.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $13,943.65 / $25,292.16