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Pennsylvania rates for MS-DRG 871

Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,517.50 / $31,757.90 / $43,368.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,405.57 / $21,043.59 / $30,816.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,627.00 / $32,570.16 / $48,380.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,826.69 / $28,473.17 / $41,361.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,008.52 / $32,008.52 / $38,867.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,327.52 / $28,858.36 / $44,109.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,486.40 / $31,757.90 / $42,917.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,628.00 / $26,004.25 / $40,499.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,262.61 / $21,809.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,034.57 / $24,485.21 / $44,413.32