go back

Pennsylvania rates for MS-DRG 846

Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,379.20 / $42,384.80 / $57,880.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $42,268.80 / $60,153.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,802.14 / $35,776.50 / $54,649.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,719.22 / $42,719.22 / $51,873.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,604.95 / $45,295.36 / $103,894.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,337.70 / $40,710.00 / $57,278.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,802.14 / $34,705.80 / $54,051.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $19,709.18 / $28,381.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,847.73 / $32,678.46 / $59,274.92