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Pennsylvania rates for MS-DRG 750

Other female reproductive system O.R. procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,508.00 / $24,127.90 / $32,948.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,303.00 / $21,213.00 / $33,187.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,153.21 / $22,624.01 / $32,833.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,318.23 / $24,318.23 / $29,529.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,045.88 / $26,828.36 / $52,990.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,308.80 / $23,174.50 / $32,606.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,272.51 / $19,952.82 / $30,768.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,233.07 / $14,332.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.95 / $18,602.46 / $33,742.69