go back

Pennsylvania rates for MS-DRG 865

Viral illness w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,511.70 / $24,495.70 / $33,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,636.00 / $26,912.74 / $40,017.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,976.78 / $21,962.08 / $31,814.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,688.99 / $24,688.99 / $29,979.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,757.52 / $25,695.73 / $47,219.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,487.70 / $24,495.70 / $33,451.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,207.53 / $20,227.05 / $31,238.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,645.82 / $16,403.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $19,254.65 / $31,501.76