go back

Arizona 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
$10,168.60 / $14,849.10 / $19,516.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,294.36 / $12,294.36 / $12,294.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,315.26 / $11,752.08 / $19,877.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,329.87 / $14,915.12 / $24,964.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,790.67 / $16,645.47 / $24,303.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,790.67 / $15,474.19 / $24,303.75