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New Jersey rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,210.00 / $18,826.80 / $24,412.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,788.27 / $18,726.00 / $25,364.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $13,419.00 / $20,834.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,908.00 / $15,355.00 / $21,678.57