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Arizona rates for MS-DRG 087

Traumatic stupor & coma, coma <1 hr w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,148.60 / $14,820.00 / $19,478.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.37 / $11,766.37 / $11,766.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,519.78 / $15,032.44 / $25,425.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,309.58 / $14,885.83 / $24,915.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,765.55 / $16,612.78 / $24,256.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,765.55 / $15,443.79 / $24,256.01