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Pennsylvania rates for MS-DRG 922

Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,507.30 / $28,600.90 / $39,057.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,120.00 / $26,178.71 / $41,774.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,406.31 / $25,642.71 / $36,877.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,826.61 / $28,826.61 / $35,003.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,867.37 / $60,543.09 / $137,158.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,776.10 / $27,990.40 / $38,651.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,521.00 / $23,616.90 / $36,473.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,221.04 / $18,774.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,994.76 / $22,051.19 / $39,998.28