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Indiana rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,392.32 / $15,580.30 / $20,907.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,436.12 / $13,146.55 / $13,810.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,520.94 / $13,202.75 / $21,119.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,712.36 / $12,544.50 / $28,769.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,308.84 / $12,138.89 / $17,505.43