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New Jersey rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,018.70 / $18,531.90 / $24,030.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,619.28 / $18,394.00 / $24,967.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,159.00 / $13,861.00 / $21,358.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $22,770.54