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Pennsylvania rates for MS-DRG 914

Traumatic injury w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,355.58 / $14,477.00 / $19,769.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,528.00 / $13,836.11 / $22,150.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,669.32 / $13,813.80 / $19,919.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,591.27 / $14,591.27 / $17,717.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,651.95 / $14,177.05 / $21,658.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,985.44 / $14,168.00 / $19,564.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,214.69 / $12,954.87 / $19,317.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,375.98 / $10,184.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,958.80 / $11,161.73 / $20,246.07