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Pennsylvania rates for MS-DRG 734

Pelvic evisceration, radical hysterectomy and radical vulvectomy with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,495.90 / $35,115.19 / $51,386.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,411.00 / $42,120.73 / $60,352.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,447.93 / $31,221.54 / $46,071.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,098.14 / $35,098.14 / $42,619.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,435.42 / $34,734.75 / $49,422.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,208.30 / $34,823.40 / $50,749.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,354.37 / $28,755.00 / $44,408.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,312.72 / $23,370.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,906.62 / $26,635.65 / $48,700.32