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Pennsylvania rates for MS-DRG 742

Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,546.20 / $29,997.10 / $40,963.69
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,169.84 / $19,169.84 / $19,169.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,429.00 / $27,958.32 / $43,125.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,109.58 / $26,894.50 / $40,820.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,233.83 / $30,233.83 / $36,712.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,280.98 / $29,870.63 / $41,322.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,093.00 / $28,811.90 / $40,538.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,014.64 / $24,769.80 / $38,506.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,248.18 / $20,301.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,385.04 / $22,944.17 / $41,950.87