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Massachusetts rates for MS-DRG 122

Circ Disor W Ami Wo Maj Comp Disch Alive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,911.57 / $12,258.50 / $16,005.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $11,049.92 / $29,976.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.45 / $11,453.04 / $17,305.66
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,264.49 / $16,264.49 / $16,264.49
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,979.66 / $11,537.90 / $17,817.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $11,049.92 / $29,976.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $9,750.00 / $23,427.06