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New York 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
$13,747.30 / $30,101.70 / $50,823.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,266.00 / $50,478.27 / $71,467.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,008.16 / $42,910.50 / $62,990.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,949.93 / $42,430.58 / $83,679.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,344.48 / $15,344.48 / $15,344.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,008.16 / $46,719.25 / $63,337.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,693.79 / $38,498.33 / $62,739.00