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Idaho 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
$12,302.69 / $12,302.69 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $20,892.96 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $48,977.88 / $51,286.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $35,481.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $19,952.62 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $18,197.01 / $19,952.62