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Pennsylvania rates for MS-DRG 016

Autologous bone marrow transplant w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $97,723.72 / $138,038.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $120,226.44 / $181,970.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,712.85 / $104,712.85 / $125,892.54
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $95,499.26 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93,325.43 / $275,422.87 / $389,045.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $91,201.08 / $134,896.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $50,118.72 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $70,794.58 / $125,892.54