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Michigan 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
$86,709.80 / $127,433.00 / $196,745.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147,341.03 / $209,467.28 / $268,547.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,019.52 / $169,790.46 / $226,041.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86,709.80 / $130,342.00 / $208,422.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101,406.10 / $165,593.49 / $260,420.17