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Pennsylvania rates for MS-DRG 001

Heart transplant or implant of heart assist system w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257,039.58 / $467,735.14 / $660,693.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $512,861.38 / $794,328.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $602,559.59
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204,173.79 / $446,683.59 / $562,341.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371,535.23 / $602,559.59 / $891,250.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251,188.64 / $436,515.83 / $630,957.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194,984.46 / $223,872.11 / $323,593.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $338,844.16 / $588,843.66