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California rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,514.30 / $37,774.00 / $50,562.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,172.71 / $23,444.70 / $49,382.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $20,895.16 / $43,906.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,037.35 / $34,760.62 / $46,023.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,637.60 / $37,227.19 / $43,689.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,600.84 / $26,599.20 / $49,680.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $19,974.00 / $42,859.42