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Pennsylvania rates for MS-DRG 917

Poisoning & toxic effects of drugs w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,143.80 / $25,641.80 / $35,016.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,407.00 / $25,758.71 / $38,943.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,583.91 / $22,989.61 / $33,924.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,844.10 / $25,844.10 / $31,382.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,017.93 / $22,442.86 / $33,193.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,756.40 / $24,908.00 / $34,652.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,778.68 / $20,996.17 / $33,051.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,850.25 / $18,223.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.63 / $19,769.68 / $35,859.90