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California rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,090.30 / $27,744.00 / $35,355.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $14,226.84 / $31,361.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $17,185.52 / $33,860.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,646.02 / $30,479.93 / $40,510.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,568.57 / $21,689.78 / $37,528.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $17,725.68 / $36,289.28