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Arizona rates for MS-DRG 201

Pneumothorax w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,125.38 / $20,417.38
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $14,125.38 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,481.54 / $19,498.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,882.50 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,589.25 / $18,197.01