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California rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,714.32 / $15,356.40 / $24,901.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,366.57 / $17,366.57 / $17,366.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,191.36 / $13,684.98 / $31,502.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,474.58 / $30,247.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,634.44 / $15,912.50 / $28,520.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,502.00 / $25,502.00 / $25,502.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,946.49 / $13,696.27 / $29,051.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $12,479.36 / $25,548.64