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Pennsylvania rates for MS-DRG 921

Complications Of Treatment Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.92 / $11,254.70 / $15,369.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,090.00 / $11,997.00 / $18,772.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,024.88 / $10,553.17 / $15,628.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,343.46 / $11,343.46 / $13,774.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,735.75 / $11,900.39 / $16,697.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,207.99 / $11,014.40 / $15,369.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,668.97 / $10,071.29 / $14,511.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,653.26 / $7,642.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,162.75 / $8,677.28 / $15,739.58