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Pennsylvania rates for MS-DRG 901

Wound debridements for injuries w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,844.90 / $68,610.20 / $93,693.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $74,764.00 / $105,608.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,814.00 / $57,913.08 / $93,365.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,151.57 / $69,151.57 / $83,969.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,834.87 / $76,578.56 / $111,990.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,777.80 / $68,610.20 / $92,719.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,054.64 / $56,179.88 / $89,305.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $33,844.96 / $49,239.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,178.46 / $52,898.14 / $95,951.06