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Pennsylvania rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $19,054.61 / $27,542.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $22,908.68 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $17,378.01 / $28,183.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $24,547.09
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $19,498.45 / $24,547.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $18,620.87 / $26,915.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $9,772.37 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $13,803.84 / $23,988.33