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Pennsylvania rates for MS-DRG 965

Other multiple significant trauma w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,874.56 / $15,376.20 / $20,997.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $17,635.00 / $24,786.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,231.26 / $14,671.80 / $21,156.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,497.56 / $15,497.56 / $18,818.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,543.10 / $12,104.11 / $29,367.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,481.43 / $15,376.20 / $20,997.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,745.02 / $13,759.52 / $19,825.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $7,347.36 / $10,141.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.80 / $11,855.00 / $21,503.59