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California 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
$11,259.20 / $18,337.90 / $28,263.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,019.10 / $16,019.10 / $16,019.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,064.83 / $14,753.07 / $33,961.51
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,090.58 / $27,964.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,565.85 / $18,268.54 / $32,091.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,133.00 / $23,426.00 / $27,492.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,681.25 / $15,373.03 / $32,371.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,717.00 / $14,959.92 / $28,997.82