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Alaska rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,157.00 / $19,431.59 / $39,479.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,702.22 / $29,702.22 / $31,558.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $11,479.01 / $17,459.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $11,066.94 / $31,558.05