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Alaska rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,337.90 / $50,387.50 / $102,374.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,019.75 / $77,019.75 / $81,832.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $29,765.81 / $45,725.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $28,983.64 / $81,832.05