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Pennsylvania rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,306.42 / $11,264.50 / $15,382.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,180.00 / $12,024.23 / $18,726.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,030.13 / $10,748.40 / $15,628.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,353.34 / $11,353.34 / $13,786.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.50 / $13,431.45 / $14,634.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,213.40 / $11,126.00 / $15,322.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,673.92 / $10,080.07 / $14,583.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,684.15 / $7,687.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,166.38 / $8,684.85 / $15,753.30