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Pennsylvania rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,824.96 / $229,086.77 / $323,593.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $204,173.79 / $346,736.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112,201.85 / $208,929.61 / $295,120.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245,470.89 / $245,470.89 / $295,120.92
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $223,872.11 / $281,838.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154,881.66 / $269,153.48 / $812,830.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125,892.54 / $213,796.21 / $309,029.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $114,815.36 / $199,526.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $165,958.69 / $288,403.15