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Pennsylvania rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,974.00 / $21,387.80 / $29,206.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,457.00 / $16,910.48 / $27,051.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,167.00 / $20,962.84 / $30,082.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,773.03 / $19,175.59 / $29,104.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,556.52 / $21,556.52 / $26,175.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,151.93 / $22,446.72 / $35,466.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,797.30 / $20,542.70 / $28,903.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,992.35 / $17,660.70 / $27,274.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,091.78 / $14,122.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,084.44 / $16,489.86 / $29,910.68