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Pennsylvania rates for MS-DRG 902

Wound debridements for injuries w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,265.00 / $31,300.20 / $42,743.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,166.00 / $32,641.00 / $45,991.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,581.48 / $28,062.74 / $42,593.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,547.13 / $31,547.13 / $38,307.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,897.72 / $35,114.44 / $51,099.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,234.30 / $30,063.40 / $42,299.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,598.56 / $25,845.75 / $40,001.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,777.45 / $21,088.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,904.34 / $24,132.27 / $43,773.13