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Maine rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,080.33 / $20,633.11 / $26,452.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,422.84 / $18,257.90 / $35,745.00