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Pennsylvania rates for MS-DRG 814

Reticuloendothelial & immunity disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,465.70 / $34,769.40 / $47,480.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,194.35 / $25,194.35 / $25,194.35
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,001.00 / $29,168.15 / $47,626.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,661.00 / $31,113.62 / $44,830.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,043.76 / $35,043.76 / $42,553.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,385.12 / $33,996.79 / $50,371.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,178.59 / $34,027.19 / $46,987.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,897.08 / $28,710.45 / $44,339.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,219.47 / $23,232.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,719.02 / $26,807.05 / $48,624.87