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Pennsylvania rates for MS-DRG 745

D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,411.50 / $18,597.00 / $25,395.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,002.00 / $17,887.00 / $26,688.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,367.31 / $17,437.88 / $25,432.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,743.73 / $18,743.73 / $22,760.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,258.00 / $17,862.20 / $25,131.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,688.50 / $15,379.00 / $23,864.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,224.86 / $11,390.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $14,338.19 / $26,007.80