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Idaho rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,043.60 / $15,043.60 / $15,043.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,276.11 / $59,858.14 / $62,533.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,567.31 / $34,432.78 / $36,015.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $21,809.55 / $36,123.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,471.09 / $22,223.50 / $32,167.66