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Pennsylvania rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,802.10 / $26,835.20 / $36,645.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,683.00 / $27,266.82 / $39,473.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,516.93 / $24,849.15 / $36,517.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,046.99 / $27,046.99 / $32,842.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,887.27 / $23,243.50 / $50,066.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,775.90 / $25,774.90 / $36,265.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,042.00 / $22,191.73 / $34,221.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,294.08 / $17,396.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.15 / $20,689.84 / $37,528.97