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Idaho rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.40 / $10,403.40 / $10,403.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,310.57 / $41,394.73 / $43,244.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,209.33 / $22,393.36 / $24,999.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $14,997.46 / $24,840.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,082.08 / $15,368.60 / $22,245.46