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Tennessee rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,988.96 / $11,798.50 / $20,762.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,628.00 / $6,253.22 / $11,206.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,360.63 / $6,491.57 / $10,642.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,357.55 / $10,875.35 / $15,633.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,530.30 / $22,530.30 / $26,441.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,158.00 / $10,516.00 / $17,198.50