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South Carolina rates for MS-DRG 195

Simple pneumonia and pleurisy without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,859.28 / $25,129.00 / $41,179.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,526.46 / $7,526.46 / $7,526.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,579.66 / $8,031.53 / $17,748.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,055.43 / $12,837.11 / $19,423.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $16,366.14 / $21,131.43