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Missouri rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,700.99 / $13,789.20 / $22,893.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,002.12 / $12,002.12 / $12,002.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,892.53 / $11,823.48 / $20,029.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,359.00 / $14,707.75 / $21,059.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,388.75 / $14,765.68 / $35,292.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,388.75 / $14,097.74 / $19,813.66