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Pennsylvania rates for MS-DRG 801

Splenic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,472.20 / $31,208.60 / $42,618.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,101.00 / $29,328.79 / $43,239.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,338.00 / $27,980.66 / $42,469.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,454.85 / $31,454.85 / $38,195.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,351.38 / $34,743.19 / $47,293.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,214.50 / $30,542.40 / $42,175.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,552.93 / $25,770.15 / $39,798.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,865.95 / $18,246.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,878.29 / $24,061.68 / $43,645.09