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Pennsylvania rates for MS-DRG 695

Kidney and urinary tract signs and symptoms with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,469.20 / $18,700.00 / $26,583.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,671.00 / $21,753.45 / $30,852.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,906.45 / $16,765.82 / $25,447.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,847.54 / $18,847.54 / $22,886.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,314.79 / $18,700.00 / $26,440.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,319.20 / $15,464.18 / $23,847.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,023.53 / $12,533.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $14,417.60 / $26,151.84