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Pennsylvania rates for MS-DRG 928

Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,683.40 / $117,266.00 / $160,138.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $95,890.51 / $150,362.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,615.93 / $104,936.60 / $151,200.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118,191.75 / $118,191.75 / $143,518.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,026.62 / $70,458.07 / $168,185.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,568.60 / $112,633.00 / $158,474.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,965.00 / $96,020.93 / $149,543.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $50,780.62 / $74,228.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,060.79 / $90,411.88 / $163,996.60