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Pennsylvania rates for MS-DRG 825

Lymphoma & non-acute leukemia w other proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,351.10 / $22,061.30 / $31,003.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,441.00 / $23,081.71 / $34,417.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,720.00 / $20,686.30 / $30,021.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,235.41 / $22,235.41 / $27,000.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,011.05 / $36,363.69 / $51,923.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,168.90 / $21,590.40 / $30,363.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,112.31 / $18,243.89 / $28,133.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,793.51 / $13,678.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,276.06 / $17,009.18 / $30,852.68