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California rates for MS-DRG 089

Alcohol, Drug Abuse or Dependence, Left Against Medical Advice

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,522.80 / $22,024.70 / $33,945.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,632.02 / $17,892.27 / $41,187.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $15,196.86 / $32,384.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,593.19 / $21,691.86 / $38,543.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,565.83 / $28,410.65 / $33,342.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,840.77 / $18,453.18 / $38,879.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $17,011.82 / $34,827.82