go back

Alaska rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $41,686.94 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $61,659.50 / $66,069.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $28,840.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $23,988.33 / $38,018.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $61,659.50 / $66,069.34