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Alaska rates for MS-DRG 152

Otitis media & URI w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $32,359.37 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $22,387.21 / $22,387.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $18,197.01 / $27,542.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $50,118.72