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Pennsylvania rates for MS-DRG 717

Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,048.50 / $30,907.80 / $42,207.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,450.00 / $32,345.71 / $44,258.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,545.66 / $27,710.95 / $42,059.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,151.66 / $31,151.66 / $37,827.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,707.44 / $33,366.43 / $55,092.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,018.30 / $30,907.80 / $41,768.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,568.27 / $25,521.75 / $39,415.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,463.47 / $20,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,792.71 / $23,829.75 / $43,224.39