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Pennsylvania rates for MS-DRG 989

Non-Extensive OR Procedures Unrelated To Principal Diagnosis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,976.30 / $19,605.70 / $26,773.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,623.33 / $7,623.33 / $7,623.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,759.00 / $19,592.89 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,495.40 / $18,154.68 / $26,679.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,760.41 / $19,760.41 / $23,994.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,856.32 / $22,106.07 / $36,949.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.40 / $19,187.20 / $26,495.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,875.41 / $16,189.20 / $25,002.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,230.60 / $12,841.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.48 / $15,115.92 / $27,418.51