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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
$17,782.79 / $31,622.78 / $44,668.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $30,902.95 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $29,512.09 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $33,884.42 / $40,738.03
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $31,622.78 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $38,904.51 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $30,199.52 / $42,657.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,454.40 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $22,908.68 / $39,810.72