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Arizona rates for MS-DRG 152

Otitis media & URI w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,116.50 / $19,154.00 / $25,174.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,568.15 / $15,568.15 / $15,568.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,003.80 / $8,180.47 / $13,836.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,324.58 / $19,239.12 / $32,201.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,498.78 / $21,471.12 / $31,349.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,498.78 / $19,960.25 / $31,349.58