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Pennsylvania rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,216.00 / $23,606.30 / $32,236.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,574.00 / $24,784.47 / $33,486.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,637.01 / $21,859.20 / $31,814.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,792.58 / $23,792.58 / $28,891.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,363.21 / $18,060.00 / $45,059.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,021.10 / $23,606.30 / $32,236.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,890.52 / $19,521.53 / $30,103.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,872.12 / $15,230.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $18,327.41 / $30,358.00