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Arizona rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,278.75 / $13,549.70 / $17,809.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,294.22 / $11,294.22 / $11,294.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,557.28 / $9,687.79 / $16,385.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,864.16 / $13,719.50 / $25,310.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,671.40 / $15,188.88 / $22,177.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,655.92 / $14,616.02 / $22,177.00