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Pennsylvania rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,391.70 / $27,492.50 / $37,543.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,116.00 / $27,598.36 / $42,970.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,564.34 / $24,648.89 / $36,634.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,709.40 / $27,709.40 / $33,647.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,680.68 / $25,174.45 / $41,729.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,164.70 / $26,406.20 / $37,153.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,700.99 / $22,701.60 / $35,448.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,584.35 / $19,314.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,684.91 / $21,196.57 / $38,448.10