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Pennsylvania rates for MS-DRG 894

Alcohol/drug abuse or dependence, left ama

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,563.20 / $10,085.70 / $13,772.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,435.17 / $5,435.17 / $13,680.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.00 / $8,683.12 / $14,350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,611.33 / $4,611.33 / $9,725.89
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
$3,190.45 / $9,752.33 / $14,834.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,553.33 / $9,436.10 / $13,629.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,611.33 / $4,611.33 / $9,725.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,159.37 / $6,936.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,454.64 / $7,714.33 / $14,104.80