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Pennsylvania rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,366.27 / $16,729.90 / $23,159.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,297.83 / $11,164.29 / $22,347.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,864.00 / $19,858.00 / $27,738.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,862.79 / $15,628.00 / $22,766.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,861.93 / $16,861.93 / $20,475.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,451.62 / $15,643.61 / $24,100.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,228.12 / $16,729.90 / $22,846.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,426.87 / $13,835.02 / $21,733.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,274.62 / $11,459.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.00 / $13,098.78 / $21,514.88