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Idaho 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
$8,049.36 / $8,049.36 / $8,049.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,225.83 / $32,028.22 / $33,459.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,930.75 / $17,898.11 / $20,153.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $11,185.62 / $18,526.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,348.23 / $12,260.00 / $17,211.91