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Pennsylvania rates for MS-DRG 699

Other kidney and urinary tract diagnoses with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,153.27 / $16,594.20 / $22,660.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,572.83 / $13,572.83 / $16,516.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,655.00 / $18,075.00 / $27,835.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,883.28 / $15,559.95 / $22,581.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,725.16 / $16,725.16 / $20,309.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,837.31 / $17,323.57 / $23,168.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,137.03 / $16,594.20 / $22,660.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,358.53 / $13,722.80 / $21,499.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,184.73 / $11,334.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $12,967.64 / $21,340.38