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Michigan rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,209.00 / $10,344.29 / $16,792.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,532.45 / $13,532.45 / $13,532.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,384.79 / $11,920.23 / $15,282.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,329.08 / $16,103.50 / $20,368.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,400.57 / $11,124.50 / $17,788.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,654.89 / $14,799.96 / $22,485.44