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Pennsylvania rates for MS-DRG 842

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,248.19 / $16,519.00 / $23,215.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,437.00 / $19,179.65 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,843.02 / $15,628.00 / $22,728.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,649.37 / $16,649.37 / $20,217.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,690.65 / $37,574.31 / $311,185.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,111.79 / $16,519.00 / $23,010.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,320.64 / $14,782.15 / $22,174.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,439.93 / $11,690.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $12,736.09 / $23,101.79