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Alaska rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,326.60 / $21,669.10 / $44,025.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,122.28 / $33,122.28 / $35,191.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,800.76 / $21,028.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $13,329.46 / $35,191.80