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Massachusetts 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
$104,204.00 / $216,082.00 / $282,125.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $197,327.04 / $528,403.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122,093.44 / $201,884.16 / $305,049.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286,696.28 / $286,696.28 / $286,696.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175,912.78 / $203,380.11 / $314,066.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $197,327.04 / $528,403.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $200,111.18 / $459,894.18