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California rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,080.79 / $15,935.70 / $22,809.76
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,341.04 / $10,341.04 / $10,341.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,603.52 / $14,188.98 / $32,662.98
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,581.26 / $26,929.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,018.71 / $16,726.00 / $29,340.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,516.15 / $22,530.30 / $26,441.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,293.21 / $14,148.52 / $29,596.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,017.00 / $14,135.98 / $28,745.30