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California rates for MS-DRG 254

Other vascular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $50,118.72 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $61,659.50 / $66,069.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $44,668.36 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $39,810.72 / $75,857.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $64,565.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $45,708.82 / $77,624.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $39,810.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $41,686.94 / $79,432.82