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Pennsylvania rates for MS-DRG 690

Kidney & urinary tract infections w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,300.07 / $13,234.50 / $18,072.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,973.28 / $8,973.28 / $8,973.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $14,116.00 / $21,509.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.74 / $12,628.20 / $18,009.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,338.94 / $13,338.94 / $16,197.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,930.60 / $11,012.58 / $16,558.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,287.12 / $13,234.50 / $18,045.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,666.23 / $11,842.99 / $16,918.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,505.37 / $8,920.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,533.20 / $10,122.79 / $18,508.41