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Tennessee rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,879.48 / $11,613.70 / $20,436.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,706.03 / $6,701.88 / $11,054.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,257.97 / $10,705.00 / $15,410.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,718.45 / $22,718.45 / $26,662.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $10,121.24 / $14,457.04