go back

Tennessee rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,169.14 / $10,414.50 / $18,326.59
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.00 / $2,920.00 / $5,429.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,071.88 / $4,311.22 / $7,088.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,611.80 / $9,599.65 / $13,819.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,860.05 / $18,860.05 / $22,133.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $9,076.17 / $12,964.27