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Pennsylvania rates for MS-DRG 689

Kidney & urinary tract infections w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,463.60 / $18,969.70 / $25,904.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,358.00 / $21,295.00 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,049.36 / $17,007.68 / $25,814.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,119.41 / $19,119.41 / $23,216.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,912.01 / $20,531.14 / $32,222.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,445.00 / $18,969.70 / $25,865.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,453.65 / $15,664.05 / $24,669.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,342.74 / $13,008.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $14,625.58 / $26,529.10