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Pennsylvania rates for MS-DRG 838

Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $34,673.69 / $52,480.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $48,977.88 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $31,622.78 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $34,673.69 / $43,651.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $33,113.11 / $56,234.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $33,884.42 / $51,286.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,595.87 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $25,118.86 / $43,651.58