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Illinois rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,431.60 / $19,659.30 / $29,933.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,770.28 / $19,381.14 / $28,428.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,682.84 / $19,192.56 / $34,190.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.59 / $200.34 / $319.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,070.95 / $20,857.61 / $34,326.76