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Arizona rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,700.40 / $18,546.40 / $24,376.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,915.00 / $18,915.00 / $18,915.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,514.17 / $17,740.53 / $30,005.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,367.81 / $18,714.70 / $33,381.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,975.43 / $20,790.04 / $30,355.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,975.43 / $19,327.11 / $30,355.15