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Pennsylvania rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,461.60 / $25,056.50 / $34,216.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,415.00 / $28,080.50 / $36,828.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,413.32 / $23,202.03 / $33,150.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,254.18 / $25,254.18 / $30,665.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,402.93 / $30,223.85 / $45,203.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,821.00 / $25,056.50 / $34,191.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,620.96 / $20,720.75 / $31,953.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,817.01 / $16,673.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,128.12 / $19,318.41 / $35,041.37