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California rates for MS-DRG 016

Major Chest Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,476.60 / $112,990.00 / $183,220.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,880.51 / $92,850.24 / $212,179.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $81,333.21 / $162,004.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110,155.18 / $159,951.35 / $187,716.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,220.07 / $72,523.81 / $99,924.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153,016.00 / $153,016.00 / $153,016.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $91,821.40 / $187,983.35