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Pennsylvania rates for MS-DRG 987

Non-extensive O.R. proc unrelated to principal diagnosis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,917.30 / $56,050.90 / $76,542.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,444.81 / $34,444.81 / $34,444.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $59,956.42 / $82,399.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,251.94 / $47,311.92 / $73,836.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,493.18 / $56,493.18 / $68,598.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,192.24 / $64,964.41 / $108,126.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,070.50 / $56,050.90 / $76,417.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,933.20 / $45,823.99 / $71,478.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,795.04 / $38,934.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,945.49 / $43,214.98 / $78,386.94