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Pennsylvania rates for MS-DRG 876

O.R. procedure w principal diagnoses of mental illness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,853.69 / $63,187.30 / $86,287.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.00 / $27,791.00 / $72,800.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,890.13 / $28,890.13 / $60,933.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,685.82 / $63,685.82 / $77,332.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,869.90 / $74,562.42 / $123,325.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,791.80 / $60,690.50 / $85,391.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,890.13 / $28,890.13 / $60,933.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $30,056.65 / $43,673.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,478.81 / $48,717.06 / $88,367.07