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Pennsylvania rates for MS-DRG 884

Organic disturbances & intellectual disability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $26,302.68 / $38,018.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $22,387.21 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $25,118.86
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $26,302.68 / $33,113.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $15,135.61 / $26,302.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $24,547.09 / $36,307.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $13,489.63 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $19,498.45 / $33,884.42