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Pennsylvania rates for MS-DRG 816

Reticuloendothelial And Immunity Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,784.70 / $10,419.20 / $14,767.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,895.16 / $6,895.16 / $6,895.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,230.00 / $12,507.65 / $19,228.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,531.26 / $9,859.20 / $15,446.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,414.10 / $10,414.10 / $12,645.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,286.49 / $13,630.92 / $21,322.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,699.38 / $10,332.60 / $14,694.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,204.52 / $9,246.16 / $14,216.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,432.10 / $7,328.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,821.70 / $7,966.36 / $14,450.05