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Arizona rates for MS-DRG 390

Gastrointestinal Obstruction Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,715.19 / $15,488.17
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $11,220.18 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,912.51 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,000.00 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,549.93 / $14,125.38