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Missouri rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,197.56 / $9,601.79 / $15,941.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,962.52 / $8,932.20 / $15,131.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,276.45 / $10,251.00 / $15,120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,145.00 / $10,281.77 / $26,662.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,145.00 / $9,714.58 / $13,796.83