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Arizona rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,767.00 / $27,992.20 / $42,550.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,954.16 / $19,954.16 / $19,954.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,097.70 / $27,499.87 / $46,512.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,176.08 / $28,246.17 / $50,383.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,111.78 / $31,378.49 / $45,815.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,111.78 / $29,170.49 / $45,815.15