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Pennsylvania rates for MS-DRG 895

Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,765.90 / $23,143.60 / $31,604.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $22,109.62 / $35,637.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,581.61 / $10,581.61 / $22,318.00
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
$14,201.92 / $14,201.92 / $24,651.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,743.20 / $22,229.20 / $31,276.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,581.61 / $10,581.61 / $22,318.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,448.56 / $16,092.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,932.78 / $17,843.64 / $32,366.28