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Pennsylvania rates for MS-DRG 887

Other mental disorder diagnoses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,657.37 / $17,508.09 / $23,908.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,828.54 / $15,828.54 / $15,828.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.00 / $8,639.91 / $21,554.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,004.98 / $8,004.98 / $16,883.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,708.00 / $3,708.00 / $3,708.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,318.46 / $20,193.84 / $32,883.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,855.27 / $16,380.50 / $23,660.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,004.98 / $8,004.98 / $16,883.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,484.02 / $13,218.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $13,498.69 / $24,485.06