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Idaho rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,496.16 / $6,496.16 / $6,496.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,551.23 / $25,848.07 / $27,003.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,868.71 / $14,559.95 / $16,489.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $9,274.65 / $15,361.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,544.40 / $9,596.60 / $13,890.71