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Michigan rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,210.00 / $13,431.30 / $21,803.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,111.35 / $30,012.93 / $38,478.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.70 / $20,909.22 / $26,446.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,609.10 / $14,444.30 / $23,097.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,237.74 / $19,216.66 / $29,195.70