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Arkansas rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,202.92 / $10,572.40 / $21,486.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.75 / $11,221.75 / $11,234.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,903.01 / $9,906.59 / $11,325.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,547.68 / $11,590.09 / $15,073.41
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,919.88 / $12,919.88 / $13,373.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $10,531.24 / $14,805.55