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California rates for MS-DRG 040

Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc

Facilitymedian $100,000 · 10th–90th $16,982–$173,7800%20%10th90th$100,000$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $89,125.09 / $204,173.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $112,201.85 / $173,780.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $58,884.37 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $85,113.80 / $165,958.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138,038.43 / $138,038.43 / $138,038.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $97,723.72 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $75,857.76 / $173,780.08