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Illinois rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,502.60 / $14,738.00 / $20,931.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,550.86 / $13,272.57 / $19,422.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,162.18 / $12,648.94 / $22,894.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.39 / $134.15 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,091.68 / $13,966.48 / $22,985.58