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Pennsylvania rates for MS-DRG 896

Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,737.30 / $28,530.60 / $38,961.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,418.44 / $27,418.44 / $28,528.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $27,903.72 / $40,036.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,044.62 / $13,044.62 / $27,512.81
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
$11,371.70 / $24,372.69 / $41,096.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,709.40 / $27,403.30 / $38,556.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,044.62 / $13,044.62 / $27,512.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,905.80 / $19,792.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,313.71 / $21,996.99 / $39,899.97