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Idaho 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
$8,065.20 / $8,065.20 / $8,065.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,273.50 / $32,091.25 / $33,525.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,959.00 / $18,817.93 / $20,186.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $11,947.99 / $19,789.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,366.62 / $11,914.50 / $17,245.78