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Pennsylvania rates for MS-DRG 920

Complications of treatment w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,174.04 / $16,386.59 / $22,377.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,661.12 / $10,661.12 / $22,275.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $17,653.99 / $27,519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,772.12 / $15,628.00 / $22,299.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,515.90 / $16,515.90 / $20,055.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,836.49 / $16,552.54 / $23,307.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,038.74 / $16,249.00 / $22,377.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,253.94 / $14,663.65 / $21,415.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,152.63 / $11,290.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $12,633.99 / $22,916.59