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Ohio rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,329.33 / $11,840.30 / $16,384.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,047.44 / $9,047.44 / $9,047.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,000.00 / $11,093.40 / $16,806.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $9,905.96 / $16,958.49
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $10,318.27 / $16,162.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.82 / $12,952.61 / $18,211.27