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Pennsylvania rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,705.30 / $19,121.80 / $26,112.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,799.00 / $19,930.45 / $30,295.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,129.91 / $17,929.97 / $26,021.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,272.66 / $19,272.66 / $23,402.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,002.99 / $19,147.13 / $22,594.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,547.50 / $18,366.20 / $26,112.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,631.66 / $15,812.99 / $25,698.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,706.04 / $13,548.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,439.81 / $14,742.81 / $26,741.73