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Pennsylvania rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $22,387.21 / $31,622.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $22,908.68 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $20,892.96 / $33,113.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $28,840.32
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $22,908.68 / $28,840.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $37,153.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $21,379.62 / $30,902.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $9,332.54 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $16,218.10 / $28,183.83