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Illinois rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,673.05 / $10,424.50 / $15,829.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,310.97 / $13,310.97 / $13,310.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,069.96 / $9,691.78 / $14,851.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,656.95 / $9,241.12 / $16,726.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.15 / $103.36 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,686.43 / $10,596.76 / $15,622.92