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Illinois rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127,087.00 / $172,658.00 / $271,861.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,363.60 / $153,275.16 / $218,167.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110,866.61 / $153,057.97 / $277,028.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.08 / $1,580.03 / $2,748.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127,308.22 / $175,511.09 / $258,758.00