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Alaska rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,610.30 / $24,125.00 / $49,015.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,876.29 / $36,876.29 / $39,180.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $14,251.57 / $22,903.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $14,517.48 / $39,180.37