go back

Pennsylvania rates for MS-DRG 740

Uterine, adnexa proc for non-ovarian/adnexal malig w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,563.30 / $29,585.20 / $40,401.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,197.94 / $24,197.94 / $24,197.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,671.00 / $29,278.02 / $43,607.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,672.95 / $26,525.12 / $40,259.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,818.59 / $29,818.59 / $36,208.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,613.71 / $36,883.41 / $64,035.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,319.00 / $28,953.60 / $39,981.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,743.88 / $24,429.60 / $38,329.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,185.38 / $20,208.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,416.45 / $22,629.05 / $41,374.69