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Pennsylvania rates for MS-DRG 684

Renal Failure Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,494.55 / $9,814.29 / $13,792.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,235.42 / $8,235.42 / $8,235.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,021.96 / $12,249.04 / $17,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,253.83 / $9,202.60 / $14,530.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,891.74 / $9,891.74 / $12,011.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.41 / $10,409.46 / $192,229.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,413.51 / $9,814.29 / $13,402.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,943.47 / $8,116.06 / $12,803.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,036.16 / $6,752.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $7,566.78 / $13,725.26