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Pennsylvania rates for MS-DRG 863

Postoperative & post-traumatic infections w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,133.78 / $16,314.70 / $22,770.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $17,749.00 / $26,538.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,642.81 / $15,297.81 / $22,201.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,443.40 / $16,443.40 / $19,966.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,737.92 / $16,216.50 / $25,279.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,999.06 / $16,314.70 / $22,279.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,130.48 / $13,491.61 / $21,077.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,025.02 / $11,113.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $12,817.18 / $20,980.85