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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
$12,124.70 / $21,981.20 / $30,017.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,144.00 / $23,720.10 / $34,450.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,767.06 / $19,707.68 / $30,244.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,154.67 / $22,154.67 / $26,902.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,644.88 / $23,644.88 / $36,452.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,103.20 / $21,112.70 / $30,017.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,071.96 / $18,150.75 / $29,839.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,606.37 / $16,341.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,253.27 / $16,947.41 / $30,740.65