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Pennsylvania rates for MS-DRG 673

Other Kidney And Urinary Tract Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,890.00 / $68,692.00 / $93,804.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $58,572.28 / $90,240.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,406.96 / $57,982.08 / $88,569.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,233.96 / $69,233.96 / $84,069.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,104.73 / $54,778.41 / $84,932.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,822.80 / $65,977.70 / $92,830.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,406.96 / $56,246.82 / $88,316.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $32,035.62 / $46,569.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,201.31 / $52,961.17 / $96,065.38