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Pennsylvania rates for MS-DRG 799

Splenic Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,841.60 / $74,043.00 / $106,468.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $89,678.65 / $125,004.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,592.83 / $62,498.82 / $100,231.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,627.21 / $74,627.21 / $90,618.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,706.44 / $64,439.99 / $90,201.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,769.19 / $74,043.00 / $105,822.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,592.83 / $60,628.38 / $95,842.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $36,287.80 / $52,843.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,063.91 / $57,086.78 / $103,548.77