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Alaska rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,521.40 / $44,999.20 / $91,426.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,783.44 / $68,783.44 / $73,081.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $26,582.73 / $45,278.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $28,700.64 / $73,081.13