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Pennsylvania rates for MS-DRG 923

Other injury, poisoning & toxic effect diag w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,603.02 / $16,638.40 / $22,721.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,185.00 / $13,799.84 / $23,695.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,814.29 / $15,601.34 / $22,641.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,769.66 / $16,769.66 / $20,363.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,183.49 / $16,847.03 / $20,646.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,177.62 / $15,606.00 / $22,485.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,291.79 / $13,759.30 / $21,499.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,184.73 / $11,334.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $12,828.11 / $23,268.69