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Indiana rates for MS-DRG 039

Extracranial procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,201.80 / $21,899.60 / $29,387.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,685.26 / $12,685.26 / $12,685.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,343.34 / $17,771.84 / $28,435.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,840.46 / $17,632.50 / $40,438.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,794.14 / $17,369.18 / $25,040.50