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Pennsylvania rates for MS-DRG 897

Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,961.09 / $14,432.90 / $19,709.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,139.22 / $11,499.06 / $23,670.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,192.64 / $13,123.17 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,598.93 / $6,598.93 / $13,918.00
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
$4,925.00 / $10,639.27 / $16,950.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,743.04 / $13,503.30 / $19,504.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,598.93 / $6,598.93 / $13,918.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,119.12 / $9,805.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,111.01 / $11,127.69 / $20,184.34