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Pennsylvania rates for MS-DRG 963

Other multiple significant trauma w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,796.10 / $44,694.90 / $61,034.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $50,579.35 / $67,501.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,881.41 / $37,726.44 / $57,628.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,047.56 / $45,047.56 / $54,700.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,331.97 / $56,422.52 / $71,440.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,653.40 / $44,694.90 / $61,034.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,881.41 / $36,597.37 / $57,268.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $20,937.00 / $30,193.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,714.90 / $34,459.55 / $62,505.60