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Pennsylvania rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $22,387.21 / $31,622.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $25,703.96 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,417.38 / $30,199.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $28,840.32
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $22,908.68 / $27,542.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $36,307.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,892.96 / $30,902.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $13,803.84 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $16,218.10 / $28,183.83