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Pennsylvania rates for MS-DRG 674

Other Kidney And Urinary Tract Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,089.50 / $38,233.80 / $52,211.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,465.00 / $39,555.00 / $58,131.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,254.61 / $34,279.19 / $49,297.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,535.44 / $38,535.44 / $46,793.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,639.75 / $43,041.11 / $51,854.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,052.10 / $37,989.00 / $52,211.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,053.95 / $31,571.10 / $48,757.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $17,861.43 / $25,655.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,876.83 / $29,478.05 / $53,469.75