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Indiana rates for MS-DRG 086

Traumatic Stupor And Coma <1 Hour With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,630.40 / $24,269.30 / $32,567.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,131.20 / $17,131.20 / $17,131.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,559.29 / $20,366.52 / $31,491.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,013.50 / $19,540.50 / $44,814.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,263.26 / $19,177.05 / $27,604.21