go back

Alaska rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,088.50 / $25,808.00 / $39,532.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,426.19 / $32,426.19 / $34,452.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,531.74 / $20,116.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,751.00 / $34,452.23