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Pennsylvania rates for MS-DRG 735

Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,315.40 / $21,997.60 / $30,039.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,489.00 / $22,489.30 / $31,846.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,653.38 / $20,626.52 / $29,934.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,171.15 / $22,171.15 / $26,922.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,200.93 / $22,997.43 / $25,415.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,133.70 / $21,528.00 / $30,039.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,080.19 / $18,191.16 / $28,052.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,667.17 / $13,490.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,257.92 / $16,825.48 / $30,763.51